Doctor Name: | REBECCA JOANN CHERRY |
NPI Number: | 1477736577 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PSYD |
License Number: | |
Business Practice Address: | 21210 Nw Mauzey Rd Hillsboro, OR - 971249327 |
Business Phone Number: | 5034399531 |
Business Fax Number: | 5035313841 |
Mailing Address: | 236 Nw Garibaldi St, HILLSBORO |
State: | OR |
Postal Code: | 971243053 |
Phone Number: | 9712288447 |
Fax Number: | |
NPI Enumeration Date: | 12/11/2007 |
NPI Last Update Date: | 10/04/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |