Cheryl M McDaniel, M.ED.,CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

3441 Issued in LA

Practice address

210 Champagne Blvd
Breaux Bridge, LA 70517-3700

Phone

(337) 507-1106

Fax

(337) 332-3582

NPI assigned

Jun 17, 2009

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

Credentials

Master of Education

State licenses

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

{
    "created_epoch": "1245196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245196800000",
    "number": "1457588451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 CHAMPAGNE BLVD",
            "city": "BREAUX BRIDGE",
            "state": "LA",
            "postal_code": "705173700",
            "telephone_number": "337-507-1106",
            "fax_number": "337-332-3582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 CHAMPAGNE BLVD",
            "city": "BREAUX BRIDGE",
            "state": "LA",
            "postal_code": "705173700",
            "telephone_number": "337-507-1106",
            "fax_number": "337-332-3582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDANIEL",
        "first_name": "CHERYL",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "M.ED.,CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-17",
        "last_updated": "2009-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "LA",
            "license": "3441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Breaux Bridge, LA
• Providers in Breaux Bridge, LA by specialty
• Speech-Language Pathologist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2009; 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.