Provider Demographics
NPI:1891935011
Name:SPANIER, CHERIE L (PSYD)
Entity Type:Individual
Prefix:DR
First Name:CHERIE
Middle Name:L
Last Name:SPANIER
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1101 RICHMOND AVE
Mailing Address - Street 2:SUITE 104
Mailing Address - City:POINT PLEASANT BEACH
Mailing Address - State:NJ
Mailing Address - Zip Code:08742-3010
Mailing Address - Country:US
Mailing Address - Phone:732-616-0905
Mailing Address - Fax:732-295-2280
Practice Address - Street 1:1101 RICHMOND AVE
Practice Address - Street 2:SUITE 104
Practice Address - City:POINT PLEASANT BEACH
Practice Address - State:NJ
Practice Address - Zip Code:08742-3010
Practice Address - Country:US
Practice Address - Phone:732-616-0905
Practice Address - Fax:732-295-2280
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-27
Last Update Date:2009-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ00464200103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist