Pruett, Cheryl

Pruett, Cheryl is an sole proprietor health care provider with primary practice located at 115 Liberty St , Bath NY 14810-1508. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Pruett, Cheryl can be contacted via phone (607) 776-6577.

Contact Information

Primary practice address
115 Liberty St Bath NY 14810-1508
Phone: (607) 776-6577
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 11297 New York

Profile Details

NPI number 1205916327
LBN Legal business name Pruett, Cheryl
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 16th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1205916327 NPPES
New York MEDICAID 38653L

Popular Providers