MEDICARE: DR. CHERYL PARMELY ED.D.

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	103T00000X	Psychologist	1044	KS
2	103T00000X	Psychologist	2003023470	MO
3	103TH0100X	Health Service Psychologist	1783	MA

General Provider Information

NPI Number	:	1104914753
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHERYL PARMELY ED.D.

Provider Business Mailing Address
First Line	:	PO BOX 590303
Second Line	:
City	:	NEWTON CENTRE
State	:	MA
Zip	:	02459-0003
Country	:	US
Telephone Number	:	617-332-0369
Fax Number	:	617-332-5149

Provider Business Practice Location Address
First Line	:	11 WARREN TER
Second Line	:
City	:	NEWTON CENTRE
State	:	MA
Zip	:	02459-2060
Country	:	US
Telephone Number	:	617-332-0369
Fax Number	:	617-332-5149

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

Provider Enumeration Date	:	10/10/2006
Last Update Date	:	09/11/2025

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