Individual
CHERYL LYNNE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
2809 SAINT MARYS RD, ARDMORE, PA 19003-2006
(484) 368-9897
Mailing address
2809 SAINT MARYS RD, ARDMORE, PA 19003-2006
(484) 368-9897
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC000728
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
172986000
KEYSTONE
PA
01
—
2320957000
IBC
PA
01
—
7443306
AETNA
PA
Enumeration date
09/02/2006
Last updated
12/11/2015
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