Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 102L00000X | Psychologist | 1044 | KS |
N | 103T00000X | Psychologist | 1044 | KS |
N | 102L00000X | Psychologist | 2003023470 | MO |
N | 103T00000X | Psychologist | 2003023470 | MO |
N | 103TH0100X | Health Service | 1783 | MA |
NPI | 1104914753 |
---|---|
Provider Name | Dr. Cheryl Parmely |
First Address | Newton Centre, MA 02459-0003 |
Second Address | Newton Centre, MA 02459-2060 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/10/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
531693 | (02) | MA |