Polly, Cheryl
Polly, Cheryl is an individual health care provider with primary practice located at 909 8Th St Ste 300, Wichita Falls TX 76301-6820. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Polly, Cheryl can be contacted via phone (940) 767-2914.Contact Information
Primary practice address
909 8Th St Ste 300
Wichita Falls TX 76301-6820
Phone: (940) 767-2914
Fax: (866) 838-5630
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 13054 | Texas |
Profile Details
| NPI number | 1194777896 |
|---|---|
| LBN Legal business name | Polly, Cheryl |
| Credentials | L P C PC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 17th, 2006 |
| Last updated | Nov 14th, 2023 - about last year |
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 | 1194777896 | NPPES |
| Texas | MEDICAID | 026846801 |
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