Healthcare Provider Details

I. General information

NPI: 1821423492
Provider Name (Legal Business Name): KATHLEEN J. CHERRY PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/13/2013
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3521 SILVERSIDE RD STE 2F1
WILMINGTON DE
19810-4900
US

IV. Provider business mailing address

3521 SILVERSIDE RD STE 2F1
WILMINGTON DE
19810-4900
US

V. Phone/Fax

Practice location:
  • Phone: 302-224-1400
  • Fax: 302-224-1402
Mailing address:
  • Phone: 302-224-1400
  • Fax: 302-224-1402

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberB1-0000966
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: