Provider Demographics
NPI:1134289721
Name:WHITNEY, CHERYL SUSAN (LMHC)
Entity Type:Individual
Prefix:MRS
First Name:CHERYL
Middle Name:SUSAN
Last Name:WHITNEY
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:59 MILLBURY ST
Mailing Address - Street 2:
Mailing Address - City:GRAFTON
Mailing Address - State:MA
Mailing Address - Zip Code:01519-1019
Mailing Address - Country:US
Mailing Address - Phone:508-320-5914
Mailing Address - Fax:
Practice Address - Street 1:57 E MAIN ST
Practice Address - Street 2:SUITE 200
Practice Address - City:WESTBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01581-1464
Practice Address - Country:US
Practice Address - Phone:508-366-0406
Practice Address - Fax:508-366-6221
Is Sole Proprietor?:No
Enumeration Date:2006-12-12
Last Update Date:2009-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA6784101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health