Cherie Marie Rodgers, SLP, CCC, M.A.
Individual provider Active NPI Speech-Language Pathologist · Lewisberry, PA
NPI 1992856009 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1992856009
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SL-006192-L (PA)
- Practice address
- 678 Woodburne Rd
Lewisberry, PA 17339-9334 - Phone
- (717) 506-0672
- NPI assigned
- Jan 15, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SL-006192-L | PA | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SL-006192-L | PA | Yes |
Addresses
Primary practice location
678 Woodburne Rd
Lewisberry, PA 17339-9334
Mailing address
678 Woodburne Rd
Lewisberry, PA 17339-9334
Phone (717) 506-0672
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1000027140003 | Medicaid | PA |
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All providers in Lewisberry, PA · Speech-Language Pathologist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.