Provider Demographics
NPI:1447009378
Name:CHERY, DEANDRE ENGEL RICHARDS
Entity type:Individual
Prefix:
First Name:DEANDRE
Middle Name:ENGEL RICHARDS
Last Name:CHERY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5700 THOMPSON CREEK BLVD STE 3
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68516-6579
Mailing Address - Country:US
Mailing Address - Phone:954-716-1800
Mailing Address - Fax:
Practice Address - Street 1:5700 THOMPSON CREEK BLVD STE 3
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68516-6579
Practice Address - Country:US
Practice Address - Phone:954-716-1800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-14
Last Update Date:2024-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty