Individual
DR. CHERYL EWING LANEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
30 WASHINGTON AVE STE F, HADDONFIELD, NJ 08033-3341
(856) 354-9423
(856) 427-9964
Mailing address
30 WASHINGTON AVE STE F, HADDONFIELD, NJ 08033-3341
(856) 354-9423
(856) 427-9964
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1905
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1905
CLINICAL PSYCHOLOGIST
NJ
01
—
PS002675
CLINICAL PSYCHOLOGIST
PA
01
—
TAX ID 222812769
TAX ID
—
Enumeration date
07/11/2006
Last updated
07/05/2009
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