Provider Demographics
NPI:1629723986
Name:FLANNERY, CHERYL (MA)
Entity Type:Individual
Prefix:
First Name:CHERYL
Middle Name:
Last Name:FLANNERY
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:911 NEWTOWN RD
Mailing Address - Street 2:
Mailing Address - City:DEVON
Mailing Address - State:PA
Mailing Address - Zip Code:19333-1836
Mailing Address - Country:US
Mailing Address - Phone:267-567-3004
Mailing Address - Fax:
Practice Address - Street 1:1564 MCDANIEL DR
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19380-6672
Practice Address - Country:US
Practice Address - Phone:484-254-6559
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-15
Last Update Date:2022-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral