Provider Demographics
NPI:1932565785
Name:CHERIE LEA GARDNER DBA ZOUNDS HEARING
Entity Type:Organization
Organization Name:CHERIE LEA GARDNER DBA ZOUNDS HEARING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEARING INSTRUMENT SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:CHERIE
Authorized Official - Middle Name:LEA
Authorized Official - Last Name:GARDNER
Authorized Official - Suffix:
Authorized Official - Credentials:HIS, AAS
Authorized Official - Phone:509-948-3321
Mailing Address - Street 1:552 N COLORADO ST
Mailing Address - Street 2:102
Mailing Address - City:KENNEWICK
Mailing Address - State:WA
Mailing Address - Zip Code:99336-7779
Mailing Address - Country:US
Mailing Address - Phone:509-948-3321
Mailing Address - Fax:
Practice Address - Street 1:401 W MAIN ST
Practice Address - Street 2:SUITE 105
Practice Address - City:WALLA WALLA
Practice Address - State:WA
Practice Address - Zip Code:99362-2837
Practice Address - Country:US
Practice Address - Phone:509-948-3321
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-10
Last Update Date:2016-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60356173211305R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization