Individual
DR. LINA CHERKASOVA FARLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
744 HEARTLAND TRL, MADISON, WI 53717-1982
(608) 294-6088
(608) 824-2675
Mailing address
744 HEARTLAND TRL, MADISON, WI 53717-1982
(608) 294-6088
(608) 824-2675
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
024702-01
NY
103G00000X
Clinical Neuropsychologist
5193-57
WI
103TC2200X
Clinical Child & Adolescent Psychologist
024702-01
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1487338935
—
WI
Enumeration date
06/14/2023
Last updated
05/28/2024
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