Provider Demographics
NPI:1003088071
Name:LABUE, CHERYL A (MS, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:CHERYL
Middle Name:A
Last Name:LABUE
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 1:521 E SHERIDAN AVE
Mailing Address - Street 2:
Mailing Address - City:DU BOIS
Mailing Address - State:PA
Mailing Address - Zip Code:15801-3235
Mailing Address - Country:US
Mailing Address - Phone:814-375-9192
Mailing Address - Fax:814-375-8901
Practice Address - Street 1:521 E SHERIDAN AVE
Practice Address - Street 2:
Practice Address - City:DU BOIS
Practice Address - State:PA
Practice Address - Zip Code:15801-3235
Practice Address - Country:US
Practice Address - Phone:814-375-9192
Practice Address - Fax:814-375-8901
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-29
Last Update Date:2008-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL004346L235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist