MEDICARE: CHERYL ANN STEVENS MD, UNLICENSED

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	101YA0400X	Addiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number	:	1992832414
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHERYL ANN STEVENS MD, UNLICENSED

Provider Business Mailing Address
First Line	:	117 PARK AVE
Second Line	:
City	:	WEST SPRINGFIELD
State	:	MA
Zip	:	01089-3327
Country	:	US
Telephone Number	:	413-209-3124
Fax Number	:	413-209-3127

Provider Business Practice Location Address
First Line	:	117 PARK AVE
Second Line	:	200
City	:	WEST SPRINGFIELD
State	:	MA
Zip	:	01089-3327
Country	:	US
Telephone Number	:	413-209-3124
Fax Number	:	413-209-3127

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

Provider Enumeration Date	:	02/28/2007
Last Update Date	:	07/08/2007

Similar Medicare Providers

1467527317 — DR. MICHAEL B HALLE MD
Practice Location Address:

2101 E JEFFERSON ST , KAISER PERMANENTE SPRINGFIELD MEDICARE ENROLLMENT
ROCKVILLE, MD
20852-4908

Practice Phone: 701-922-1000
Practice Fax: 703-922-1039

1497832083 — DR. LYSA CHARLES MD
Practice Location Address:

2101 E JEFFERSON ST PPQA MEDICARE COMPLIANCE UNT 6 WEST , KAISER PERMANENTE MID ATLANTIC PERMANENTE MEDICAL GROUP
ROCKVILLE, MD
20852-4908

Practice Phone: 301-816-6660
Practice Fax: 301-816-6308

1336275692 — MR. TIMOTHY WAYNE STANTON LICSW
Practice Location Address:

117 PARK AVE , SUITE 200
WEST SPRINGFIELD, MA
01089-3327

Practice Phone: 413-209-3124
Practice Fax: 413-209-3127

1497486237 — BRENT EDWARD MCNAMARA MA, LCADC
Practice Location Address:

1 RANDOLPH RD
WEST DEPTFORD, NJ
08096-3327

Practice Phone: 856-693-4699
Practice Fax:

1801076781 — MS. DEBORAH M SOLOMON OTR/L
Practice Location Address:

1440 HOLLY ST
WEST LINN, OR
97068-3327

Practice Phone: 503-901-1419
Practice Fax: 503-655-4848

1891028551 — JEANNE ELIZABETH COOPER
Practice Location Address:

210 W UNION ST
WEST CHESTER, PA
19382-3327

Practice Phone: 215-668-2746
Practice Fax:

Directions to “ CHERYL ANN STEVENS MD, UNLICENSED” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.