Doctor Name: | CHERYL LYFORD |
NPI Number: | 1376612655 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMHC |
License Number: | 5359 |
Business Practice Address: | 923 Route 6a Suite T Yarmouth Port, MA - 026752159 |
Business Phone Number: | 5087900577 |
Business Fax Number: | 5085933326 |
Mailing Address: | Po Box 158, HARWICH |
State: | MA |
Postal Code: | 026450158 |
Phone Number: | 5087900577 |
Fax Number: | 5085933326 |
NPI Enumeration Date: | 11/08/2006 |
NPI Last Update Date: | 12/09/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 5359 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |