Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YP1600X | Pastoral Counselor | ||
Y | 1041C0700X | Clinical Social Worker | 1017889 | MA |
NPI | 1306273024 |
---|---|
Provider Name | Ms. Cheryl Diane Harrell |
First Address | Hadley, MA 01035-9559 |
Second Address | Hadley, MA 01035-9559 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/09/2013 |
Last Update Date | 18/04/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A015745 | VALUEOPTIONS/HARVARD PILGRIM (01) | MA |
HAP05089 | BCBS (01) | MA |