Healthcare Provider Details

I. General information

NPI: 1801693585
Provider Name (Legal Business Name): CHERI SPEAR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/28/2025
Last Update Date: 02/28/2025
Certification Date: 02/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3918 MUD PIKE RD
CELINA OH
45822-9722
US

IV. Provider business mailing address

2423 ALLENTOWN RD
LIMA OH
45805-1711
US

V. Phone/Fax

Practice location:
  • Phone: 567-510-7666
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code103TA0700X
TaxonomyAdult Development & Aging Psychologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: