Provider Demographics
NPI:1265645634
Name:PANTALONE, CHERYL GERTZ (M ED)
Entity Type:Individual
Prefix:MS
First Name:CHERYL
Middle Name:GERTZ
Last Name:PANTALONE
Suffix:
Gender:F
Credentials:M ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1120 WESTBROOKE TER
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73072-6308
Mailing Address - Country:US
Mailing Address - Phone:405-447-4566
Mailing Address - Fax:
Practice Address - Street 1:1120 WESTBROOKE TER
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73072-6308
Practice Address - Country:US
Practice Address - Phone:405-447-4566
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-08
Last Update Date:2008-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional