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NPI Code Detail

MEDICARE: DR. ROXANNE S CHERRY PH.D. MFT

MEDICARE: DR. ROXANNE S CHERRY PH.D. MFT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist22810CA

General Provider Information

NPI Number : 1124046297
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROXANNE S CHERRY PH.D. MFT
Provider Business Mailing Address
First Line : 29245 POMPANO WAY
Second Line :
City : LAGUNA NIGUEL
State : CA
Zip : 92677-1674
Country : US
Telephone Number : 949-228-2844
Fax Number : 949-497-4324
Provider Business Practice Location Address
First Line : 27281 LAS RAMBLAS STE 200
Second Line :
City : MISSION VIEJO
State : CA
Zip : 92691-8303
Country : US
Telephone Number : 949-228-2844
Fax Number : 949-497-4324
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/17/2006
Last Update Date : 05/29/2025

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