Dr Cheri Lynn Dimickele, PSYD is a
Psychologist - Clinical based in Tulalip, Washington. Dr Cheri Lynn Dimickele is licensed to practice in Washington (license number TE60863726) and her current practice location is
7520 Totem Beach Rd, Tulalip, Washington. She can be reached at her office (for appointments etc.) via phone at
(360) 716-4511.
NPI number for Dr Cheri Lynn Dimickele is 1538230636 and her current mailing address is 1206 Mill Creek Blvd Apt C206, Mill Creek, Washington. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1538230636.
Healthcare Provider's Profile
| Full Name | Dr Cheri Lynn Dimickele |
|---|
| Gender | Female |
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| Speciality | Psychologist - Clinical |
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| Location | 7520 Totem Beach Rd, Tulalip, Washington |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1538230636
- Provider Enumeration Date: 11/11/2006
- Last Update Date: 06/27/2018
Medical Identifiers
Medical identifiers for Dr Cheri Lynn Dimickele such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1538230636 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC0700X | Psychologist - Clinical | TE60863726 (Washington) | Primary |
| 103TC2200X | Psychologist - Clinical Child & Adolescent | 2587057 (Wisconsin) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Cheri Lynn Dimickele is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Cheri Lynn Dimickele, PSYD
1206 Mill Creek Blvd Apt C206,
Mill Creek, WA 98012-4013
Ph: (920) 765-1488 | Dr Cheri Lynn Dimickele, PSYD
7520 Totem Beach Rd,
Tulalip, WA 98271
Ph: (360) 716-4511 |
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