Basic Information
| Provider Information | |||||||||
| NPI: | 1013190107 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | OBER | ||||||||
| FirstName: | CHERYL | ||||||||
| MiddleName: | M | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | AU.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3200 W MARKET ST | ||||||||
| Address2: | #108 | ||||||||
| City: | FAIRLAWN | ||||||||
| State: | OH | ||||||||
| PostalCode: | 443333335 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3308699911 | ||||||||
| FaxNumber: | 3308699780 | ||||||||
| Practice Location | |||||||||
| Address1: | 3200 W MARKET ST | ||||||||
| Address2: | #108 | ||||||||
| City: | FAIRLAWN | ||||||||
| State: | OH | ||||||||
| PostalCode: | 443333335 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3308699911 | ||||||||
| FaxNumber: | 3308699780 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/11/2007 | ||||||||
| LastUpdateDate: | 05/27/2008 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 231H00000X | A0119 | OH | Y | Speech, Language and Hearing Service Providers | Audiologist |
No ID Information.