Provider Demographics
NPI:1811923113
Name:CULEVSKI, CHERYL GIFFORD (PHD)
Entity type:Individual
Prefix:DR
First Name:CHERYL
Middle Name:GIFFORD
Last Name:CULEVSKI
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 1:1906 PACIFIC AVE
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98201-4413
Mailing Address - Country:US
Mailing Address - Phone:425-775-4133
Mailing Address - Fax:
Practice Address - Street 1:1906 PACIFIC AVE STE I
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98201-4413
Practice Address - Country:US
Practice Address - Phone:425-775-4133
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-25
Last Update Date:2023-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPY00002590103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical