DR. CHERYL LYNN PUGH PSY.D.
NPI 1053679761
Counselor - Mental Health in Chicago, IL
Active since May 01, 2012
About Dr. Cheryl Lynn Pugh Psy.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. CHERYL LYNN PUGH PSY.D. (NPI 1053679761) is an individual mental health provider in Chicago, Illinois, licensed in Illinois (180008113) and active in the NPI registry since May 2012.
NPPES Registry Identity
NPI1053679761
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameDR. CHERYL LYNN PUGHCredential: PSY.D.
Location Address5301 W WASHINGTON BLVD FL 2Chicago, IL 60644-3496
Mailing Address5301 W Washington Blvd Fl 2Chicago, IL 60644-3496 · (312) 316-7223
Phone(312) 316-7223
Sole ProprietorYes
Enumeration DateMay 1, 2012
✔ NPI 1053679761 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 2
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in IL · 180008113
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 26802 (IL)
5301 W WASHINGTON BLVD FL 2, Chicago, IL 60644
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1053679761, enumerated as an "individual" on May 01, 2012.
The provider is located at 5301 W WASHINGTON BLVD FL 2 CHICAGO, IL 60644 and the phone number is (312) 316-7223.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
