Individual
CHERYL WALTERS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
1848 CHARTER LANE, LIFE MANAGEMENT ASSOCIATES, LANCASTER, PA 17601-5896
(717) 394-6688
(717) 394-6804
Mailing address
1848 CHARTER LANE, LIFE MANAGEMENT ASSOCIATES, LANCASTER, PA 17601-5896
(717) 394-6688
(717) 394-6804
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PS004632L
PA
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PS004632L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01679001
CAPITAL BLUE CROSS
PA
01
—
188837
VALUE OPTIONS
PA
Enumeration date
05/12/2006
Last updated
09/11/2025
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