Provider Demographics
NPI:1285844795
Name:LITZKE, CHERYL H (MFT, LMFT)
Entity Type:Individual
Prefix:PROF
First Name:CHERYL
Middle Name:H
Last Name:LITZKE
Suffix:
Gender:F
Credentials:MFT, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1212 PINEVILLE RD
Mailing Address - Street 2:
Mailing Address - City:NEW HOPE
Mailing Address - State:PA
Mailing Address - Zip Code:18938-9493
Mailing Address - Country:US
Mailing Address - Phone:215-598-7018
Mailing Address - Fax:215-762-1153
Practice Address - Street 1:PARK TERRACE OFCS., 275 S. MAIN ST.
Practice Address - Street 2:SUITE 2D
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18901
Practice Address - Country:US
Practice Address - Phone:215-345-5665
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMF000038106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist