Doctor Name: | SHARON CHERIAN |
NPI Number: | 1427365055 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 071405-1 |
Business Practice Address: | 146 Pike St Port Jervis, NY - 127711808 |
Business Phone Number: | 8458581456 |
Business Fax Number: | 8458581459 |
Mailing Address: | 72 Peddler Hill Rd, MONROE |
State: | NY |
Postal Code: | 109502000 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 09/02/2010 |
NPI Last Update Date: | 11/02/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041S0200X |
License Number: | 071405-1 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | School |
Taxonomy Definition: |