Doctor Name: | CHERYL BLACKMAN |
NPI Number: | 1003032673 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMHC |
License Number: | MH9842 |
Business Practice Address: | 219 Preserve Ct Royal Palm Beach, FL - 334111575 |
Business Phone Number: | 5613792809 |
Business Fax Number: | |
Mailing Address: | 219 Preserve Ct, ROYAL PALM BEACH |
State: | FL |
Postal Code: | 334111575 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 04/18/2007 |
NPI Last Update Date: | 05/20/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | MH9842 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |