Individual
CHERYL SHIVAPRASAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PPS
Contact information
Practice address
2125 STORY ST, SAN LUIS OBISPO, CA 93401-5232
(805) 596-4070
Mailing address
1500 LIZZIE ST, SAN LUIS OBISPO, CA 93401-3062
(805) 596-4070
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
311842
CA
Other
Enumeration date
01/28/2026
Last updated
01/28/2026
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