Individual
DR. CHERYL SHEA GELERNTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1 BRADLEY RD, SUITE 903, WOODBRIDGE, CT 06525-2285
(203) 397-0653
Mailing address
1 BRADLEY RD, SUITE 903, WOODBRIDGE, CT 06525-2285
(203) 397-0653
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
001660
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060001660CT02
ANTHEM PROVIDER NUMBER
CT
Enumeration date
03/19/2007
Last updated
07/08/2007
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