Provider Demographics
NPI:1699801761
Name:CULBERTSON-TURNER, CHERYL ELLEN (MS, CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:CHERYL
Middle Name:ELLEN
Last Name:CULBERTSON-TURNER
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5237 HORTON ST
Mailing Address - Street 2:
Mailing Address - City:MISSION
Mailing Address - State:KS
Mailing Address - Zip Code:66202-1653
Mailing Address - Country:US
Mailing Address - Phone:913-432-6465
Mailing Address - Fax:913-432-1993
Practice Address - Street 1:5237 HORTON ST
Practice Address - Street 2:
Practice Address - City:MISSION
Practice Address - State:KS
Practice Address - Zip Code:66202-1653
Practice Address - Country:US
Practice Address - Phone:913-432-6465
Practice Address - Fax:913-432-1993
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2004021582235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist