MEDICARE: CHERYL DELANEY MA, LCAT, BC-DMT

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	101YM0800X	Mental Health Counselor	002093-1	NY

General Provider Information

NPI Number	:	1194127886
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHERYL DELANEY MA, LCAT, BC-DMT

Provider Business Mailing Address
First Line	:	210 RACHEL CARSON WAY
Second Line	:
City	:	ITHACA
State	:	NY
Zip	:	14850-8402
Country	:	US
Telephone Number	:	607-288-3366
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 RACHEL CARSON WAY
Second Line	:
City	:	ITHACA
State	:	NY
Zip	:	14850-9395
Country	:	US
Telephone Number	:	607-288-3366
Fax Number	:

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

Provider Enumeration Date	:	09/24/2014
Last Update Date	:	07/21/2022

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