Provider Demographics
NPI:1033487236
Name:CHERRY, BARBARA (MS)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:
Last Name:CHERRY
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 OAK LN APT 11
Mailing Address - Street 2:
Mailing Address - City:BROCKTON
Mailing Address - State:MA
Mailing Address - Zip Code:02301-0921
Mailing Address - Country:US
Mailing Address - Phone:917-416-4542
Mailing Address - Fax:
Practice Address - Street 1:106 OAK LN APT 11
Practice Address - Street 2:
Practice Address - City:BROCKTON
Practice Address - State:MA
Practice Address - Zip Code:02301-0921
Practice Address - Country:US
Practice Address - Phone:917-416-4542
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-02
Last Update Date:2011-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor