Provider Demographics
NPI:1780092122
Name:NEWMAN, CHERYL (MS,DT)
Entity type:Individual
Prefix:
First Name:CHERYL
Middle Name:
Last Name:NEWMAN
Suffix:
Gender:F
Credentials:MS,DT
Other - Prefix:
Other - First Name:CHERYL
Other - Middle Name:
Other - Last Name:MESSING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1103 WHIRLAWAY AVE
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60540-7742
Mailing Address - Country:US
Mailing Address - Phone:331-457-2042
Mailing Address - Fax:
Practice Address - Street 1:1103 WHIRLAWAY AVE
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60540-7742
Practice Address - Country:US
Practice Address - Phone:331-457-2042
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-29
Last Update Date:2014-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist