| Doctor Name: | MS. CHERYL ANN BROOME |
| NPI Number: | 1184910952 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSW |
| License Number: | 33573 |
| Business Practice Address: | 198 E Almar Dr Chickasha, OK - 730187327 |
| Business Phone Number: | 4052225437 |
| Business Fax Number: | |
| Mailing Address: | 816 South 20th Street, CHICKASHA |
| State: | OK |
| Postal Code: | 73018 |
| Phone Number: | 4053205584 |
| Fax Number: | |
| NPI Enumeration Date: | 06/21/2011 |
| NPI Last Update Date: | 09/11/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 33573 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |