Provider Demographics
NPI:1124426853
Name:HARUMI, CHERYL ANDERSON (PHD)
Entity type:Individual
Prefix:DR
First Name:CHERYL
Middle Name:ANDERSON
Last Name:HARUMI
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2600 ELDORADO PKWY
Mailing Address - Street 2:SUITE 230
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-4367
Mailing Address - Country:US
Mailing Address - Phone:469-213-0297
Mailing Address - Fax:469-213-5912
Practice Address - Street 1:2600 ELDORADO PKWY
Practice Address - Street 2:SUITE 230
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75070-4367
Practice Address - Country:US
Practice Address - Phone:469-213-0297
Practice Address - Fax:469-213-5912
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-11
Last Update Date:2016-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YP2500X, 103TB0200X, 103TC1900X
TX37248103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral
No103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling