Healthcare Provider Details

I. General information

NPI: 1851264600
Provider Name (Legal Business Name): CHERYL A. MUSE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/27/2025
Last Update Date: 09/27/2025
Certification Date: 09/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1332 WOODMAN DR
DAYTON OH
45432-3439
US

IV. Provider business mailing address

1332 WOODMAN DR
DAYTON OH
45432-3439
US

V. Phone/Fax

Practice location:
  • Phone: 937-545-4232
  • Fax:
Mailing address:
  • Phone: 937-545-4232
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License Number2512713
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: