Provider Demographics
NPI:1205115987
Name:CHERRY, SARAH MCELWEE (MCD, CCC-SLP)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:MCELWEE
Last Name:CHERRY
Suffix:
Gender:F
Credentials:MCD, CCC-SLP
Other - Prefix:
Other - First Name:SHELLIE
Other - Middle Name:MCELWEE
Other - Last Name:IKNER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MCD,CCC-SLP
Mailing Address - Street 1:1035 E SAMFORD AVE
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:AL
Mailing Address - Zip Code:36830-6132
Mailing Address - Country:US
Mailing Address - Phone:334-549-2711
Mailing Address - Fax:
Practice Address - Street 1:1035 E SAMFORD AVE
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:AL
Practice Address - Zip Code:36830
Practice Address - Country:US
Practice Address - Phone:334-549-2711
Practice Address - Fax:334-377-4425
Is Sole Proprietor?:No
Enumeration Date:2011-08-11
Last Update Date:2018-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1946235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist