Provider Demographics
NPI:1255950820
Name:MOMANEY, CHERYL REID (MS CCC-SLP)
Entity type:Individual
Prefix:
First Name:CHERYL
Middle Name:REID
Last Name:MOMANEY
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 FISHER RD
Mailing Address - Street 2:
Mailing Address - City:NORTHFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01360-9537
Mailing Address - Country:US
Mailing Address - Phone:413-498-2031
Mailing Address - Fax:
Practice Address - Street 1:12 SCHOOL ST
Practice Address - Street 2:
Practice Address - City:HINSDALE
Practice Address - State:NH
Practice Address - Zip Code:03451-2389
Practice Address - Country:US
Practice Address - Phone:603-336-5332
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-13
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1279235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist