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NPI Code Detail

MEDICARE: MRS. CHERYLE LEIGH DONNELLY MS CCC/SLP

MEDICARE: MRS. CHERYLE LEIGH DONNELLY MS CCC/SLP
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 Pathologist9358-1NY

General Provider Information

NPI Number : 1548413818
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CHERYLE LEIGH DONNELLY MS CCC/SLP
Provider Business Mailing Address
First Line : 260 SCHODACK DR
Second Line :
City : CASTLETON ON HUDSON
State : NY
Zip : 12033-3020
Country : US
Telephone Number : 518-732-4785
Fax Number :
Provider Business Practice Location Address
First Line : 260 SCHODACK DR
Second Line :
City : CASTLETON ON HUDSON
State : NY
Zip : 12033-3020
Country : US
Telephone Number : 518-732-4785
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/29/2008
Last Update Date : 10/29/2008

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Directions to “ MRS. CHERYLE LEIGH DONNELLY MS CCC/SLP” Practice Location

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