Healthcare Provider Details

I. General information

NPI: 1588815146
Provider Name (Legal Business Name): CHERYL D HUSING SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/01/2008
Last Update Date: 10/01/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5260 ELVAS AVE
SACRAMENTO CA
95819-2332
US

IV. Provider business mailing address

5260 ELVAS AVE
SACRAMENTO CA
95819-2332
US

V. Phone/Fax

Practice location:
  • Phone: 916-457-8802
  • Fax: 916-457-7609
Mailing address:
  • Phone: 916-457-8802
  • Fax: 916-457-7609

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSP 8545
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: