Provider Demographics
NPI:1528204526
Name:RATTIGAN, CHERYL MARSHA (EDD)
Entity Type:Individual
Prefix:MS
First Name:CHERYL
Middle Name:MARSHA
Last Name:RATTIGAN
Suffix:
Gender:F
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10307 SERENE MEADOW DR N
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33428-5205
Mailing Address - Country:US
Mailing Address - Phone:561-789-6997
Mailing Address - Fax:
Practice Address - Street 1:10307 SERENE MEADOW DR N
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33428-5205
Practice Address - Country:US
Practice Address - Phone:561-789-6997
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-21
Last Update Date:2008-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional