Provider Demographics
NPI:1073941472
Name:CRUMB, CHERYL LYNE (LMHC)
Entity Type:Individual
Prefix:MS
First Name:CHERYL
Middle Name:LYNE
Last Name:CRUMB
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:MS
Other - First Name:CHERYL
Other - Middle Name:LYNE
Other - Last Name:FINER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMHC
Mailing Address - Street 1:15 TIMBERLANE RD
Mailing Address - Street 2:
Mailing Address - City:HAMPSTEAD
Mailing Address - State:NH
Mailing Address - Zip Code:03841
Mailing Address - Country:US
Mailing Address - Phone:603-489-9913
Mailing Address - Fax:603-329-6693
Practice Address - Street 1:21 CENTRAL ST
Practice Address - Street 2:
Practice Address - City:ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01810
Practice Address - Country:US
Practice Address - Phone:603-489-9913
Practice Address - Fax:603-329-6693
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-22
Last Update Date:2013-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3849101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor