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NPI Code Detail

MEDICARE: BRITTANY ANNE CHERRY M.S.-CFY

MEDICARE: BRITTANY ANNE CHERRY M.S.-CFY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language PathologistIN

General Provider Information

NPI Number : 1457611758
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRITTANY ANNE CHERRY M.S.-CFY
Provider Business Mailing Address
First Line : 19961 S ROSEWOOD DR
Second Line :
City : FRANKFORT
State : IL
Zip : 60423-8169
Country : US
Telephone Number : 815-715-5424
Fax Number :
Provider Business Practice Location Address
First Line : 8380 VIRGINIA ST
Second Line :
City : MERRILLVILLE
State : IN
Zip : 46410-6231
Country : US
Telephone Number : 219-769-9009
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/21/2012
Last Update Date : 05/21/2012

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