Healthcare Provider Details

I. General information

NPI: 1386527000
Provider Name (Legal Business Name): CHERYL D WASHINGTON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/29/2025
Last Update Date: 07/29/2025
Certification Date: 07/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

864 PACKARD DR
AKRON OH
44320-2816
US

IV. Provider business mailing address

864 PACKARD DR
AKRON OH
44320-2816
US

V. Phone/Fax

Practice location:
  • Phone: 330-338-7887
  • Fax: 330-338-7887
Mailing address:
  • Phone: 330-338-7887
  • Fax: 330-338-7887

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TH0100X
TaxonomyHealth Service Psychologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: