Farley, Lina Cherkasova
Farley, Lina Cherkasova is an sole proprietor health care provider with primary practice located at 744 Heartland Trl , Madison WI 53717-1982. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is her primary health care specialty. Farley, Lina Cherkasova can be contacted via phone (608) 294-6088.Contact Information
Primary practice address
744 Heartland Trl
Madison WI 53717-1982
Phone: (608) 294-6088
Fax: (608) 824-2675
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | 5193-57 | Wisconsin |
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 024702-01 | New York |
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | 024702-01 | New York |
Profile Details
| NPI number | 1487338935 |
|---|---|
| LBN Legal business name | Farley, Lina Cherkasova |
| Credentials | PSYD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 14th, 2023 |
| Last updated | May 28th, 2024 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487338935 | NPPES |
| Wisconsin | MEDICAID | 1487338935 |
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