Healthcare Provider Details

I. General information

NPI: 1114062007
Provider Name (Legal Business Name): CHERYL E CUYLER MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/20/2007
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16215 S 1ST AVE
PHOENIX AZ
85045-0510
US

IV. Provider business mailing address

16215 S 1ST AVE
PHOENIX AZ
85045-0510
US

V. Phone/Fax

Practice location:
  • Phone: 480-560-4743
  • Fax: 480-460-1008
Mailing address:
  • Phone: 480-560-4743
  • Fax: 480-460-1008

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW 2898
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: