Libera, Cheryl A

Libera, Cheryl A is an individual health care provider with primary practice located at 1563 Alhambra Way S , St Petersburg FL 33705-4625. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Libera, Cheryl A can be contacted via phone (727) 865-2293.

Contact Information

Primary practice address
1563 Alhambra Way S St Petersburg FL 33705-4625
Phone: (727) 865-2293
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW6817 Florida

Profile Details

NPI number 1467443655
LBN Legal business name Libera, Cheryl A
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2005
Last updated Sep 16th, 2013 - about 11 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 1467443655 NPPES
Florida MEDICAID 767368000

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