MEDICARE: MS. CHERYL ELIZABETH MCVEY MFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	MFC41228	CA

General Provider Information

NPI Number	:	1043373848
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CHERYL ELIZABETH MCVEY MFT

Provider Business Mailing Address
First Line	:	1722 PROFESSIONAL DR
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95825-2105
Country	:	US
Telephone Number	:	916-417-2192
Fax Number	:	916-973-9158

Provider Business Practice Location Address
First Line	:	1722 PROFESSIONAL DR
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95825-2105
Country	:	US
Telephone Number	:	916-417-2192
Fax Number	:	916-973-9158

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/19/2006
Last Update Date	:	07/08/2007

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