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NPI Code Detail

MEDICARE: CHERYL W DONALDSON SPEECH LANGUAGE PATH

MEDICARE: CHERYL W DONALDSON SPEECH LANGUAGE PATH
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 Pathologist0187KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1801869854
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHERYL W DONALDSON SPEECH LANGUAGE PATH
Provider Business Mailing Address
First Line : 111 E KENTUCKY ST
Second Line :
City : LOUISVILLE
State : KY
Zip : 40203-2793
Country : US
Telephone Number : 502-371-9910
Fax Number : 502-515-3325
Provider Business Practice Location Address
First Line : 117 E KENTUCKY ST
Second Line :
City : LOUISVILLE
State : KY
Zip : 40203-2793
Country : US
Telephone Number : 502-584-3573
Fax Number : 502-583-6364
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2006
Last Update Date : 06/12/2020

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Directions to “ CHERYL W DONALDSON SPEECH LANGUAGE PATH” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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