Provider Demographics
NPI:1851073118
Name:CHENEY, SUMMER MORGAN (BC - HIS)
Entity type:Individual
Prefix:
First Name:SUMMER
Middle Name:MORGAN
Last Name:CHENEY
Suffix:
Gender:F
Credentials:BC - HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:930 CHAMBERS ST STE 5
Mailing Address - Street 2:
Mailing Address - City:SOUTH OGDEN
Mailing Address - State:UT
Mailing Address - Zip Code:84403-5141
Mailing Address - Country:US
Mailing Address - Phone:801-393-3155
Mailing Address - Fax:801-393-3531
Practice Address - Street 1:930 CHAMBERS ST STE 5
Practice Address - Street 2:
Practice Address - City:SOUTH OGDEN
Practice Address - State:UT
Practice Address - Zip Code:84403-5141
Practice Address - Country:US
Practice Address - Phone:801-393-3155
Practice Address - Fax:801-393-3531
Is Sole Proprietor?:No
Enumeration Date:2023-08-04
Last Update Date:2023-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT354243-4601237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist