Provider Demographics
NPI:1427238609
Name:HEFLIN, CHERYL ELAINE (SLP)
Entity type:Individual
Prefix:MS
First Name:CHERYL
Middle Name:ELAINE
Last Name:HEFLIN
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:563 HEATHER DR
Mailing Address - Street 2:#3A
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45405-1739
Mailing Address - Country:US
Mailing Address - Phone:937-276-2801
Mailing Address - Fax:
Practice Address - Street 1:563 HEATHER DR
Practice Address - Street 2:#3A
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45405-1739
Practice Address - Country:US
Practice Address - Phone:937-276-2801
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-06
Last Update Date:2007-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP.1130235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist