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NPI Code Detail

MEDICARE: LAURA NEAL CHERRY M.A., C.R.C.

MEDICARE:   LAURA NEAL CHERRY  M.A., C.R.C.
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
1225C00000XRehabilitation Counselor00102706OH

General Provider Information

NPI Number : 1164691523
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA NEAL CHERRY M.A., C.R.C.
Provider Business Mailing Address
First Line : 5555 GLENDON CT
Second Line :
City : DUBLIN
State : OH
Zip : 43016-3304
Country : US
Telephone Number : 614-776-1483
Fax Number : 614-776-3302
Provider Business Practice Location Address
First Line : 2875 TIMBER RANGE CT
Second Line :
City : COLUMBUS
State : OH
Zip : 43231-3174
Country : US
Telephone Number : 614-776-1483
Fax Number : 614-776-3302
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/29/2008
Last Update Date : 02/29/2008

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Directions to “ LAURA NEAL CHERRY M.A., C.R.C.” Practice Location

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