Provider Demographics
NPI:1295032563
Name:BRIGGS, CHERYL SUE (APC)
Entity Type:Individual
Prefix:
First Name:CHERYL
Middle Name:SUE
Last Name:BRIGGS
Suffix:
Gender:F
Credentials:APC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:836 S MAIN ST STE 210
Mailing Address - Street 2:
Mailing Address - City:LAYTON
Mailing Address - State:UT
Mailing Address - Zip Code:84041-7118
Mailing Address - Country:US
Mailing Address - Phone:801-543-2120
Mailing Address - Fax:
Practice Address - Street 1:836 S MAIN ST STE 210
Practice Address - Street 2:
Practice Address - City:LAYTON
Practice Address - State:UT
Practice Address - Zip Code:84041-7118
Practice Address - Country:US
Practice Address - Phone:801-543-2120
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-22
Last Update Date:2011-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT4793783-6009101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health