Provider Demographics
NPI:1831617810
Name:PERKINS, CHERYL (MS SLP CCC)
Entity type:Individual
Prefix:MRS
First Name:CHERYL
Middle Name:
Last Name:PERKINS
Suffix:
Gender:F
Credentials:MS SLP CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:506 W 9TH STREET
Mailing Address - Street 2:
Mailing Address - City:DORCHESTER
Mailing Address - State:NE
Mailing Address - Zip Code:68343
Mailing Address - Country:US
Mailing Address - Phone:402-946-2781
Mailing Address - Fax:
Practice Address - Street 1:506 W 9TH STREET
Practice Address - Street 2:
Practice Address - City:DORCHESTER
Practice Address - State:NE
Practice Address - Zip Code:68343
Practice Address - Country:US
Practice Address - Phone:402-946-2781
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-30
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE2015007630235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist