Doctor Name: | MS. CHERYL JANE WALTERS |
NPI Number: | 1013972504 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LICSW |
License Number: | DP00938370 |
Business Practice Address: | 200 Veterans Ave Va Medical Center Beckley, WV - 25801 |
Business Phone Number: | 3042552121 |
Business Fax Number: | 3042565483 |
Mailing Address: | 1134 Pen Mar Ave, BLUEFIELD |
State: | WV |
Postal Code: | 247013406 |
Phone Number: | 3043232621 |
Fax Number: | |
NPI Enumeration Date: | 04/19/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | DP00938370 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WV |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |