1285186486 NPI number — MS. CHERYL ANN BIDDINGER MS, LPC

Table of content: MS. CHERYL ANN BIDDINGER MS, LPC (NPI 1285186486)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1285186486 NPI number — MS. CHERYL ANN BIDDINGER MS, LPC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BIDDINGER
Provider First Name:
CHERYL
Provider Middle Name:
ANN
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
MS, LPC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
BIDDINGER-GEORGE
Provider Other First Name:
CHERYL
Provider Other Middle Name:
ANN
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
MS, LLPC
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1285186486
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/04/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1458 HIGHLAND COVE DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BEAVERTON
Provider Business Mailing Address State Name:
MI
Provider Business Mailing Address Postal Code:
48612
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
989-289-7578
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
201 S ROSS ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BEAVERTON
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48612
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
989-289-7578
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/04/2016

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YP2500X , with the licence number:  6401015106 , registered in the state of MI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 101Y00000X , with the licence number: 6401015106 , registered in the state of MI ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)





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