Individual
DR. CHERYL SORENSEN BUPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1712 OLD SUMMERWOOD BLVD, SARASOTA, FL 34232-2939
(941) 341-0933
Mailing address
1712 OLD SUMMERWOOD BLVD, SARASOTA, FL 34232-2939
(941) 341-0933
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
112930-2501
UT
103T00000X
Psychologist
PSY002526
GA
103T00000X
Psychologist
Primary
PY7314
FL
Other
Enumeration date
06/06/2007
Last updated
07/08/2007
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