Provider Demographics
NPI:1316058712
Name:COLECCHI, CHERYL ANN (PHD)
Entity type:Individual
Prefix:DR
First Name:CHERYL
Middle Name:ANN
Last Name:COLECCHI
Suffix:
Gender:F
Credentials:PHD
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Mailing Address - Street 1:205 S WHITING ST
Mailing Address - Street 2:SUITE 603
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22304-7100
Mailing Address - Country:US
Mailing Address - Phone:703-751-0255
Mailing Address - Fax:703-751-4943
Practice Address - Street 1:205 S WHITING ST
Practice Address - Street 2:SUITE 603
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22304-7100
Practice Address - Country:US
Practice Address - Phone:703-751-0255
Practice Address - Fax:703-751-4943
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2008-09-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0810001981103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA374830OtherMHN
VA5850280OtherAETNA
VA722925OtherNCPPO
VA080178OtherSENTARA
VA188815OtherVALUEOPTIONS
VA2031456OtherCIGNA BEHAVIORAL HEALTH
VA254590000OtherMAGELLAN BEHAVIORAL HEALT
VAK689OtherCAREFIRST BLUE CROSS BLUE
VA083157OtherANTHEM BLUE CROSS BLUE SH
VA722925OtherNCPPO