Provider Demographics
NPI:1023077039
Name:SHOPE, CHERYL A (MS)
Entity type:Individual
Prefix:MS
First Name:CHERYL
Middle Name:A
Last Name:SHOPE
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:2215 FOREST HILLS DR
Mailing Address - Street 2:STE 38
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17112-1099
Mailing Address - Country:US
Mailing Address - Phone:717-540-5353
Mailing Address - Fax:717-540-5151
Practice Address - Street 1:2215 FOREST HILLS DR
Practice Address - Street 2:STE 38
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17112-1099
Practice Address - Country:US
Practice Address - Phone:717-540-5353
Practice Address - Fax:717-540-5151
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS-007421-L103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist