Deidre Cherry

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL011298 Issued in PA

Practice address

701 Slate Belt Blvd
Bangor, PA 18013-9341

Phone

(610) 599-1454

NPI assigned

Nov 7, 2013

Last updated

Nov 7, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1383782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383782400000",
    "number": "1225467574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 SLATE BELT BLVD",
            "city": "BANGOR",
            "state": "PA",
            "postal_code": "180139341",
            "telephone_number": "610-599-1454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 SLATE BELT BLVD",
            "city": "BANGOR",
            "state": "PA",
            "postal_code": "180139341",
            "telephone_number": "610-599-1454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHERRY",
        "first_name": "DEIDRE",
        "name_prefix": "Miss",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-07",
        "last_updated": "2013-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL011298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol Ann Campbell, COTA
• Maria Rachelle Canchela, P.T.
• Janessa Capozzolo, CFO
• Carl John Catino, PHD
• Scott Michael Cesari, PT
• Cindy Ann Chopek, OTR
• Christopher J. Nowik, O.D., P.C.
• Colonial Intermediate Unit 20
• Community Psychological Center, Inc.
• Daniel Luigi Comunale, DC

• Speech-Language Pathologist in Bangor, PA
• Providers in Bangor, PA by specialty
• Speech-Language Pathologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.