Doctor Name: | DANA CHERRY |
NPI Number: | 1174765267 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | LCS26499 |
Business Practice Address: | 14623 Hawthorne Blvd Ste 400 Lawndale, CA - 902601581 |
Business Phone Number: | 3109705000 |
Business Fax Number: | 3102632653 |
Mailing Address: | 14623 Hawthorne Blvd Ste 400, LAWNDALE |
State: | CA |
Postal Code: | 902601581 |
Phone Number: | 3109705000 |
Fax Number: | 3102632653 |
NPI Enumeration Date: | 04/03/2009 |
NPI Last Update Date: | 04/08/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | LCS26499 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |