Healthcare Provider Details

I. General information

NPI: 1962307991
Provider Name (Legal Business Name): CHERYL WHITNEY MS-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/09/2026
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5088 S DESERT COLOR PKWY UNIT D208
SAINT GEORGE UT
84790-2849
US

IV. Provider business mailing address

5088 S DESERT COLOR PKWY UNIT D208
SAINT GEORGE UT
84790-2849
US

V. Phone/Fax

Practice location:
  • Phone: 310-849-6656
  • Fax:
Mailing address:
  • Phone: 310-849-6656
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number14311535-4104
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: