Cheryl Lauren Cericola, SLP-TEMPORARY

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

TSLP14460 Issued in AZ

Practice address

3421 E Constance Way
Phoenix, AZ 85042-0012

Phone

(856) 816-7181

NPI assigned

Feb 27, 2024

Last updated

Jun 11, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Grow Out Loud LLC

  • Speech-Language Pathologist
  • Phoenix, AZ
  • NPI 1659062362
  NPD

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

{
    "created_epoch": "1708992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1811753650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4802 N 30TH PL",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850165010",
            "telephone_number": "497-021-4489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3421 E CONSTANCE WAY",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850420012",
            "telephone_number": "856-816-7181"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4802 N 30th Pl",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850165010",
            "country_code": "US",
            "telephone_number": "949-702-1448",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CERICOLA",
        "first_name": "CHERYL",
        "middle_name": "LAUREN",
        "credential": "SLP-TEMPORARY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-27",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "AZ",
            "license": "SLPA14460",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "TSLP14460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Century Health LLC
• Clara Guadalupe Cepeda, SLP-A
• Robert Michael Cercek Jr., MD
• Tiffany Marie Cerda, BSN RN
• Cerebro Wellness Empowerment Center
• Lisa A Cerilli, MD
• Michelle L Cermak
• Stephanie Ceron Guicho, LMSW
• Certified Medical Transportation
• Certified PA LLC

• Speech-Language Pathologist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Speech-Language Pathologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; 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.