Doctor Name: | CHERYL A WERNER |
NPI Number: | 1013214824 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 6301014744 |
Business Practice Address: | 3900 W Brown Deer Rd Suite 200 Brown Deer, WI - 532091220 |
Business Phone Number: | 4145402170 |
Business Fax Number: | 4145402171 |
Mailing Address: | 3900 W Brown Deer Rd, Suite 200 BROWN DEER |
State: | WI |
Postal Code: | 532091220 |
Phone Number: | 4145402170 |
Fax Number: | 4145402171 |
NPI Enumeration Date: | 02/15/2011 |
NPI Last Update Date: | 03/26/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC1900X |
License Number: | 6301014744 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Counseling |
Taxonomy Definition: |