National Provider Identifier

Cheryl Pruett II, PH.D.

Cheryl Pruett II, PH.D. is listed in the NPPES registry with a primary specialty of Clinical Psychologist in Bath, NY and a listed phone number of (607) 776-6577.

NPI 1205916327Bath, NYClinical Psychologist

Profile Overview

NPI
1205916327
Provider Type
Individual
Primary Specialty
Clinical Psychologist
Enumeration Date
October 16, 2006
Last Updated
July 08, 2007

Practice Location

  • 115 Liberty St
  • Bath, NY 14810-1508

Phone: (607) 776-6577

Mailing Address

  • 90 Belle Cornell Dr
  • Montour Falls, NY 14865-9609

Specialties

  • Clinical Psychologist (103TC0700X)
Full Record
NPI
1205916327
Entity Type
Individual
Last Name
Pruett
First Name
Cheryl
Name Suffix
II
Credential
PH.D.
Mailing Street Address
90 Belle Cornell Dr
Mailing City
Montour Falls
Mailing State
NY
Mailing ZIP Code
14865-9609
Mailing Country
US
Practice Street Address
115 Liberty St
Practice City
Bath
Practice State
NY
Practice ZIP Code
14810-1508
Practice Country
US
Practice Phone
(607) 776-6577
Enumeration Date
October 16, 2006
Last Updated
July 08, 2007
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Psychologist (103TC0700X)
Other Identifiers
38653L (NY)