Doctor Name: | CHERI ANN EWING |
NPI Number: | 1083775431 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHD |
License Number: | PSY20533 |
Business Practice Address: | 2200 Main St Ste 524 Wailuku, HI - 967931624 |
Business Phone Number: | 8082447534 |
Business Fax Number: | 8088797795 |
Mailing Address: | 2200 Main St, Ste 524 WAILUKU |
State: | HI |
Postal Code: | 967931624 |
Phone Number: | 8082447534 |
Fax Number: | 8088797795 |
NPI Enumeration Date: | 12/12/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | PSY20533 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |