Individual
DR. CHERISE DEANN LEREW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
SD
103TC0700X
Clinical Psychologist
Primary
532
SD
103TC1900X
Counseling Psychologist
532
SD
103TC2200X
Clinical Child & Adolescent Psychologist
532
SD
103TS0200X
School Psychologist
—
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2009850
—
SD
Enumeration date
06/20/2011
Last updated
06/09/2015
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