Healthcare Provider Details

I. General information

NPI: 1245303726
Provider Name (Legal Business Name): MONIQUE CHERRIER PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/15/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1660 S COLUMBIAN WAY VAPSHCS GRECC 182B
SEATTLE WA
98108-1532
US

IV. Provider business mailing address

1660 S COLUMBIAN WAY VAPSHCS GRECC 182B
SEATTLE WA
98108-1532
US

V. Phone/Fax

Practice location:
  • Phone: 206-277-3594
  • Fax: 206-764-2476
Mailing address:
  • Phone: 206-277-3594
  • Fax: 206-764-2476

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License NumberPY2044
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: