Provider Demographics
NPI:1093204661
Name:CHERYL S. BEMEL, PHD, LP
Entity Type:Organization
Organization Name:CHERYL S. BEMEL, PHD, LP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:STONE
Authorized Official - Last Name:BEMEL
Authorized Official - Suffix:
Authorized Official - Credentials:PHD LP
Authorized Official - Phone:651-387-2080
Mailing Address - Street 1:91 SNELLING AVE N STE 230
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55104-6756
Mailing Address - Country:US
Mailing Address - Phone:651-387-2080
Mailing Address - Fax:
Practice Address - Street 1:91 SNELLING AVE N STE 230
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55104-6756
Practice Address - Country:US
Practice Address - Phone:651-387-2080
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-09
Last Update Date:2018-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNLP2619261QM0850X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health