Hanou, Cheryl L

Hanou, Cheryl L is an individual health care provider with primary practice located at 315 S 3Rd St , Boonville IN 47601-1723. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Hanou, Cheryl L can be contacted via phone (812) 897-4776.

Contact Information

Primary practice address
315 S 3Rd St Boonville IN 47601-1723
Phone: (812) 897-4776
Fax: (812) 422-7558
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 34004905A Indiana

Profile Details

NPI number 1891802237
LBN Legal business name Hanou, Cheryl L
Credentials MSW LCSW
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2006
Last updated Oct 9th, 2015 - about 10 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 1891802237 NPPES
Indiana Other 11362919 CAQH
Indiana Other 000000350881 CAQH
Indiana MEDICAID 100240880 CAQH
Indiana Other 839090TTT CAQH

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