Provider Demographics
NPI:1366580268
Name:POCHE KNOWLES, CHERYL E (PHD)
Entity type:Individual
Prefix:DR
First Name:CHERYL
Middle Name:E
Last Name:POCHE KNOWLES
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:CHERYL
Other - Middle Name:E
Other - Last Name:KNOWLES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD
Mailing Address - Street 1:900 GARDENGATE CIRCLE
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32504-8629
Mailing Address - Country:US
Mailing Address - Phone:850-478-0008
Mailing Address - Fax:850-494-1817
Practice Address - Street 1:900 GARDENGATE CIRCLE
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32504-8629
Practice Address - Country:US
Practice Address - Phone:850-478-0008
Practice Address - Fax:850-494-1817
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-02
Last Update Date:2012-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPYOOO3753103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist