1609812924 NPI number — CHERYL MEANEY GALUS M.A., CCC/A

NPI Number: 1609812924
Health Care Provider/Practitioner: CHERYL MEANEY GALUS M.A., CCC/A

NPI Number : 1609812924 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1609812924",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "GALUS",
    "FirstName": "CHERYL",
    "MiddleName": "MEANEY",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "M.A., CCC/A",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "MEANEY",
    "OtherFirstName": "CHERYL",
    "OtherMiddleName": "LYNN",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "19800 HAWTHORNE BLVD",
    "SecondLineMailingAddress": "226",
    "MailingAddressCityName": "TORRANCE",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "90503-1515",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "310-371-6926",
    "MailingAddressFaxNumber": "310-371-6927",
    "FirstLinePracticeLocationAddress": "19800 HAWTHORNE BLVD",
    "SecondLinePracticeLocationAddress": "226",
    "PracticeLocationAddressCityName": "TORRANCE",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "90503-1515",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "310-371-6926",
    "PracticeLocationAddressFaxNumber": "310-371-6927",
    "EnumerationDate": "06/22/2006",
    "LastUpdateDate": "07/08/2007",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "231H00000X",
        "TaxonomyName": "Audiologist",
        "LicenseNumber": "1408",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}