Provider Demographics
NPI:1851449409
Name:GLOVSKY, CHERYL K (MED, CCC-A)
Entity type:Individual
Prefix:MRS
First Name:CHERYL
Middle Name:K
Last Name:GLOVSKY
Suffix:
Gender:F
Credentials:MED, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:243 CHARLES ST
Mailing Address - Street 2:AUDIOLOGY DEPARTMENT
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02114-3002
Mailing Address - Country:US
Mailing Address - Phone:617-573-3266
Mailing Address - Fax:617-573-3023
Practice Address - Street 1:243 CHARLES ST
Practice Address - Street 2:AUDIOLOGY DEPARTMENT
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-3002
Practice Address - Country:US
Practice Address - Phone:617-573-3266
Practice Address - Fax:617-573-3023
Is Sole Proprietor?:No
Enumeration Date:2007-01-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA548231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAAD0133OtherBLUE CROSS PROVIDER
MA35464Medicare ID - Type UnspecifiedMEDICARE PROVIDER