Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TS0200X | School Psychologist | CI 1000746 | OH |
NPI | 1053855338 |
---|---|
Provider Name | Cheryl Czulewicz |
First Address | Loveland, OH 45140-7800 |
Second Address | Loveland, OH 45140-7800 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/12/2016 |
Last Update Date | 06/12/2016 |