Most Relevant Information
Provider Data
| NPI Number: | 1003390071 |
| Provider Name: | CHERYL A STUBBS CCC SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | SA10803 |
Most Important Dates
| Enumeration Date: | 09/17/2018 |
| Last Updated: | 09/17/2018 |
Provider Practice Location
410 OLDE POST RD
NICEVILLE
FL
325783906
Practice Location Phone/Fax
| Phone: | 8507973605 |
| Fax: |
Provider Mailing Location
410 OLDE POST RD
NICEVILLE
FL
325783906
Provider Mailing Phone/Fax
| Phone: | 8507973605 |
| Fax: |