MEDICARE: SARAH LAWLEY CHERNICK

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	13680924-3902	UT

General Provider Information

NPI Number	:	1386165181
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH LAWLEY CHERNICK

Provider Business Mailing Address
First Line	:	5330 CARROLL CANYON RD STE 120
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92121-3758
Country	:	US
Telephone Number	:	619-800-5393
Fax Number	:

Provider Business Practice Location Address
First Line	:	5330 CARROLL CANYON RD STE 120
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92121-3758
Country	:	US
Telephone Number	:	619-800-5393
Fax Number	:

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

Provider Enumeration Date	:	06/30/2017
Last Update Date	:	04/17/2025

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Directions to “ SARAH LAWLEY CHERNICK ” Practice Location

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