Healthcare Provider Details

I. General information

NPI: 1760503148
Provider Name (Legal Business Name): CHERYL ANN LEEPER M.S., CCC-A
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/03/2007
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1601 W. ST. MARY'S RD.
TUCSON AZ
85745
US

IV. Provider business mailing address

1601 W. ST. MARY'S RD.
TUCSON AZ
85745
US

V. Phone/Fax

Practice location:
  • Phone: 520-872-2256
  • Fax: 520-872-4968
Mailing address:
  • Phone: 520-872-2256
  • Fax: 520-872-4968

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License NumberDA1959
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: