Provider Demographics
NPI:1629116264
Name:ZEIGLER, CHERIE LYNN (MA, LP)
Entity Type:Individual
Prefix:MS
First Name:CHERIE
Middle Name:LYNN
Last Name:ZEIGLER
Suffix:
Gender:F
Credentials:MA, LP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3023 MILL BRANCH RD
Mailing Address - Street 2:
Mailing Address - City:KENOVA
Mailing Address - State:WV
Mailing Address - Zip Code:25530-9777
Mailing Address - Country:US
Mailing Address - Phone:340-453-1757
Mailing Address - Fax:
Practice Address - Street 1:228 ADAMS AVE
Practice Address - Street 2:
Practice Address - City:HUNTINGTON
Practice Address - State:WV
Practice Address - Zip Code:25701-1135
Practice Address - Country:US
Practice Address - Phone:304-529-7686
Practice Address - Fax:304-523-2399
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-04
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV#906103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV3810007235Medicaid