Individual
CHERYL L. SHIFLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
825 FAIRFAX AVE, SUITE 710, NORFOLK, VA 23507-1914
(757) 446-5888
(757) 446-5918
Mailing address
PO BOX 936, EVMS MEDICAL GROUP, NORFOLK, VA 23501-0936
(757) 446-5888
(757) 446-5918
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701004426
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104168111
VIRGINIA PREMIER HEALTH PLAN
VA
05
—
1104168111
—
VA
01
—
490917
ANTHEM BEHAVIORAL HEALTH
VA
01
—
PAR
USA MANAGED CARE
VA
Enumeration date
03/18/2013
Last updated
10/24/2013
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