Provider Demographics
NPI:1306928783
Name:ERESMAN, CHERYL L (MS)
Entity type:Individual
Prefix:MRS
First Name:CHERYL
Middle Name:L
Last Name:ERESMAN
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2207 OLYMPIC ST
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:45503-2736
Mailing Address - Country:US
Mailing Address - Phone:937-390-7773
Mailing Address - Fax:937-390-8765
Practice Address - Street 1:2123 AUBURN AVE STE 235
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45219
Practice Address - Country:US
Practice Address - Phone:513-585-3238
Practice Address - Fax:513-585-3254
Is Sole Proprietor?:No
Enumeration Date:2006-10-19
Last Update Date:2024-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE.0003057101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional