| Cherry Professional Services Inc | |
|
216 N Glendora Ave Ste 205 Glendora CA 91741-6924 | |
| (626) 385-6143 | |
| (626) 691-6189 |
| Full Name | Cherry Professional Services Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 216 N Glendora Ave Ste 205, Glendora, California |
| Authorized Official Name and Position | Allison Cherry (OWNER) |
| Authorized Official Contact | 6263856143 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cherry Professional Services Inc 216 N Glendora Ave Ste 205 Glendora CA 91741-6924 Ph: (626) 385-6143 | Cherry Professional Services Inc 216 N Glendora Ave Ste 205 Glendora CA 91741-6924 Ph: (626) 385-6143 |
| NPI Number | 1508410291 |
|---|---|
| Provider Enumeration Date | 07/30/2019 |
| Last Update Date | 05/19/2020 |
| Certification Date | 05/19/2020 |
| Medicare PECOS PAC ID | 7618305442 |
|---|---|
| Medicare Enrollment ID | O20200310001066 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508410291 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Allison Faith Cherry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609389386 PECOS PAC ID: 1951631670 Enrollment ID: I20190924000251 |
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