MEDICARE: CHERISE LASHLEY

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
1	103TC1900X	Counseling Psychologist	122372-01	NY

General Provider Information

NPI Number	:	1184557555
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHERISE LASHLEY

Provider Business Mailing Address
First Line	:	1138 SAINT MARKS AVE APT 3
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11213-2312
Country	:	US
Telephone Number	:	609-529-2290
Fax Number	:

Provider Business Practice Location Address
First Line	:	1650 EASTERN PKWY
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11233-4804
Country	:	US
Telephone Number	:	718-255-5946
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/05/2026
Last Update Date	:	06/05/2026

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Directions to “ CHERISE LASHLEY ” Practice Location

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