Provider Demographics
NPI:1700439635
Name:WARDROP, CHERYL MCCLARRAN (MA, CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:CHERYL
Middle Name:MCCLARRAN
Last Name:WARDROP
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 STERLING PL
Mailing Address - Street 2:
Mailing Address - City:GLEN ROCK
Mailing Address - State:NJ
Mailing Address - Zip Code:07452-1710
Mailing Address - Country:US
Mailing Address - Phone:201-652-3068
Mailing Address - Fax:
Practice Address - Street 1:15 STERLING PL
Practice Address - Street 2:
Practice Address - City:GLEN ROCK
Practice Address - State:NJ
Practice Address - Zip Code:07452-1710
Practice Address - Country:US
Practice Address - Phone:201-652-3068
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-19
Last Update Date:2019-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ41YS00072800235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist