DR. CHERYL D'ETTORRE (NPI# 1942768759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942768759 |
| Entity Type | Individual |
| Full Name | DR. CHERYL D'ETTORRE |
| Practice Address |
2830 228th Ave Se Sammamish WA 98075-9300 |
| Practice Telephone | 4256145649 |
| Mailing Telephone | 4256145649 |
| Enumeration Date | 2019-03-11 |
| Last Update Date | 2019-03-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
PY60841321 | WA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | PSYCHOLOGIST LICENSE | PY60841321 | 01 |
| Street Address |
2830 228TH AVE SE |
| City | SAMMAMISH |
| State | WA |
| Zip Code | 98075-9300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255543039 | Naomi J Bryant | Naturopath | 2830 228th Ave Se, Sammamish, WA 98075-9300 | 2007-05-04 |
| 1932618014 | Avanti | Counselor | 2830 228th Ave Se, Sammamish, WA 98075-9300 | 2017-09-21 |
| 1386858009 | Abby Jill Beckman | Naturopath | 2830 228th Ave Se, Sammamish, WA 98075-9300 | 2007-05-10 |
| 1558574731 | Tammy Mcinnis | Naturopath | 2830 228th Ave Se, Sammamish, WA 98075-9300 | 2007-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821639717 | Atsugi LLC | Skilled Nursing Facility | 23815 Se 28th St, Sammamish, WA 98075 | 2019-10-02 |
| 1184135808 | Alliance Healthcare Technolgies | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 1781 267th Ct Se, Sammamish, WA 98075 | 2017-10-20 |
| 1508395013 | Ameeta M Desai | Physical Therapist | 24204 Se 14th Ct, Sammamish, WA 98075 | 2017-06-08 |
| 1013119494 | Betty Jane Hartwell | Massage Therapist | 3310d E Lk Sammamish Pkwy Se, Sammamish, WA 98075 | 2007-06-05 |
| 1699860908 | Andrea Lynn Hutton | Physical Therapist | 21018 Se 24th St, Sammamish, WA 98075 | 2006-10-03 |
| 1558752170 | Mollie Marie Sharp | Registered Nurse | 22717 Se 29th St Ste D-101, Sammamish, WA 98075 | 2015-02-18 |
| 1720209810 | Amy L Tait | Physical Therapist | 22739 Se 29th St, Sammamish, WA 98075 | 2007-05-02 |
| 1790133791 | Maria Faires | Dietitian, Registered | 2841 275th Ave Se, Sammamish, WA 98075-4214 | 2016-05-31 |
| 1578935714 | Ariel Folsom Hubbard | Massage Therapist | 4425 Issaquah Pine Lake Rd Se Apt Y14, Sammamish, WA 98075-5201 | 2015-10-27 |
| 1740611532 | Kei Kinoshita | Massage Therapist | 4323 Issaquah Pine Lake Rd Se, Unit 503, Sammamish, WA 98075-5266 | 2013-12-05 |
| Find all providers in zip 98075 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083198451 | Terry Macdonald | Psychologist | 19125 N Creek Pkwy Ste 115, Bothell, WA 98011-8000 | 2018-09-20 |
| 1518447630 | Robert Matthew Fontana | Psychologist | 1827 Ne 58th St # B, Seattle, WA 98105-2440 | 2018-08-17 |
| 1801380191 | Northwest Integrative Psychotherapy, Inc. P.s. | Psychologist | 3245 Fairview Ave E Ste 310, Seattle, WA 98102 | 2018-06-19 |
| 1245732288 | Shannon Dubois | Psychologist | 19803 N Creek Pkwy # 205, Bothell, WA 98011-8214 | 2018-03-06 |
| 1982134714 | John M Gottman | Psychologist | 1689 Spring Point Rd, Deer Harbor, WA 98243-9824 | 2017-06-14 |
| 1245765650 | Renee St Jacques | Psychologist | 11441 81st Ave Ne, Kirkland, WA 98034-3558 | 2017-04-23 |
| 1962942409 | Lindsay Huettman | Psychologist | 28128 Florence Acres Rd, Monroe, WA 98272-9574 | 2017-03-02 |
| 1184160541 | Robin Barre | Psychologist | 421 Lincoln Avenue, Suite A, Mukilteo, WA 98237 | 2017-01-10 |
| 1144775644 | Lee M. Faver, Phd Pllc | Psychologist | 1220 Main St Ste 4, Vancouver, WA 98660-2953 | 2016-08-25 |
| 1780053454 | Jessica Renee Mason | Psychologist | 412 E Spokane Falls Blvd # 145d, Spokane, WA 99202-2131 | 2015-09-23 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. CHERYL D'ETTORRE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.