Doctor Name: | MS. CHERYLE LYNNE PHELAN |
NPI Number: | 1275649659 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 12536 |
Business Practice Address: | 1600 North Main Lovington, NM - 882602830 |
Business Phone Number: | 5753966611 |
Business Fax Number: | 5753960318 |
Mailing Address: | 718 W Cottonwood Ave, LOVINGTON |
State: | NM |
Postal Code: | 882602641 |
Phone Number: | 4804525695 |
Fax Number: | |
NPI Enumeration Date: | 08/21/2006 |
NPI Last Update Date: | 12/11/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 12536 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AZ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |