Daly, Cheryl Ann

Daly, Cheryl Ann is an individual health care provider with primary practice located at 343 Forest Avenue , Portland ME 04101-2006. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Daly, Cheryl Ann can be contacted via phone (207) 874-1030.

Contact Information

Primary practice address
343 Forest Avenue Portland ME 04101-2006
Fax: (207) 874-1009
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X LC4162 Maine
Behavioral Health & Social Service Providers / Clinical 1041C0700X LC11172 Maine

Profile Details

NPI number 1982839924
LBN Legal business name Daly, Cheryl Ann
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2009
Last updated Jan 20th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982839924 NPPES
Maine MEDICAID 431908099

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