Provider Demographics
NPI:1801106992
Name:LAMIN, CHERYL B (PHD)
Entity type:Individual
Prefix:DR
First Name:CHERYL
Middle Name:B
Last Name:LAMIN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:CHERYL
Other - Middle Name:DIANE
Other - Last Name:BIEGUN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 596
Mailing Address - Street 2:
Mailing Address - City:MERCER ISLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98040-0596
Mailing Address - Country:US
Mailing Address - Phone:206-618-6653
Mailing Address - Fax:206-618-6653
Practice Address - Street 1:1601 114TH AVE SE
Practice Address - Street 2:ALDERWOOD BUILDING SUITE 100
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98004-6950
Practice Address - Country:US
Practice Address - Phone:206-618-6653
Practice Address - Fax:425-889-8362
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-07
Last Update Date:2012-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPY 60119372103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical