Provider Demographics
NPI:1114062007
Name:CUYLER, CHERYL E (MSW)
Entity Type:Individual
Prefix:
First Name:CHERYL
Middle Name:E
Last Name:CUYLER
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16215 S 1ST AVE
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85045-0510
Mailing Address - Country:US
Mailing Address - Phone:480-560-4743
Mailing Address - Fax:480-460-1008
Practice Address - Street 1:16215 S 1ST AVE
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85045-0510
Practice Address - Country:US
Practice Address - Phone:480-560-4743
Practice Address - Fax:480-460-1008
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-20
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLCSW 28981041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ055734Medicaid