Provider Demographics
NPI:1053459933
Name:NOTARI, CHERYL ANN (PHD)
Entity Type:Individual
Prefix:DR
First Name:CHERYL
Middle Name:ANN
Last Name:NOTARI
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:332 SPRINGFIELD AVE
Mailing Address - Street 2:SUITE 204
Mailing Address - City:SUMMIT
Mailing Address - State:NJ
Mailing Address - Zip Code:07901-3658
Mailing Address - Country:US
Mailing Address - Phone:908-608-1114
Mailing Address - Fax:908-654-4741
Practice Address - Street 1:332 SPRINGFIELD AVE
Practice Address - Street 2:SUITE 204
Practice Address - City:SUMMIT
Practice Address - State:NJ
Practice Address - Zip Code:07901-3658
Practice Address - Country:US
Practice Address - Phone:908-608-1114
Practice Address - Fax:908-654-4741
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ35SI00426900103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical