Provider Demographics
NPI:1871903468
Name:CHEN, CHERYL XI (MD)
Entity type:Individual
Prefix:DR
First Name:CHERYL
Middle Name:XI
Last Name:CHEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2212 AVALON DR
Mailing Address - Street 2:
Mailing Address - City:WEYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02188-4606
Mailing Address - Country:US
Mailing Address - Phone:781-534-9882
Mailing Address - Fax:877-338-6431
Practice Address - Street 1:2212 AVALON DR
Practice Address - Street 2:
Practice Address - City:WEYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02188-4606
Practice Address - Country:US
Practice Address - Phone:781-534-9882
Practice Address - Fax:877-338-6431
Is Sole Proprietor?:No
Enumeration Date:2014-05-05
Last Update Date:2022-10-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA2746512084P0804X
OH35-1282212084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry