Doctor Name: | DR. JERRY CASH |
NPI Number: | 1396050027 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PH.D. |
License Number: | 2780 |
Business Practice Address: | 255 N Main St Boaz, AL - 359563105 |
Business Phone Number: | 2562816260 |
Business Fax Number: | |
Mailing Address: | 255 N. Main Street, BOAZ |
State: | AL |
Postal Code: | 35956 |
Phone Number: | 2562816260 |
Fax Number: | |
NPI Enumeration Date: | 08/18/2010 |
NPI Last Update Date: | 04/11/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 2780 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |