Provider Demographics
NPI:1194127886
Name:DELANEY, CHERYL (MA, LCAT, BC-DMT)
Entity type:Individual
Prefix:
First Name:CHERYL
Middle Name:
Last Name:DELANEY
Suffix:
Gender:F
Credentials:MA, LCAT, BC-DMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 RACHEL CARSON WAY
Mailing Address - Street 2:
Mailing Address - City:ITHACA
Mailing Address - State:NY
Mailing Address - Zip Code:14850-8402
Mailing Address - Country:US
Mailing Address - Phone:607-288-3366
Mailing Address - Fax:
Practice Address - Street 1:100 RACHEL CARSON WAY
Practice Address - Street 2:
Practice Address - City:ITHACA
Practice Address - State:NY
Practice Address - Zip Code:14850-9395
Practice Address - Country:US
Practice Address - Phone:607-288-3366
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-24
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002093-1101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health