Individual
DR. CHERYL LOOMIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
286 GENESEE ST, UTICA, NY 13502-4639
(607) 373-9703
(315) 295-2585
Mailing address
286 GENESEE ST, UTICA, NY 13502-4639
(607) 373-9703
(315) 295-2585
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
019657
NY
103T00000X
Psychologist
35SI00555100
NJ
103TC0700X
Clinical Psychologist
Primary
019657
NY
103TC0700X
Clinical Psychologist
35SI00555100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04324223
—
NY
Enumeration date
01/27/2015
Last updated
02/12/2026
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