Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. CHERYL BASTULLI
Active Sole ProprietorMS. CHERYL BASTULLI is a Emotionally Disturbed Children Residential Treatment healthcare provider located in EASTLAKE, Ohio. NPI 1902402795 is currently active in the NPPES registry. Verify at CMS.
Emotionally Disturbed Children Residential Treatment · EASTLAKE, OH
Registration Details
- NPI Number
- 1902402795
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 8, 2020 (5.7281842700822 yrs)
- Last Updated
- Dec 8, 2020
- Licenses
-
274348 (OH)274348 (OH)274348 (OH)274348 (OH)274348 (OH)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1135 E 346TH STEASTLAKE, OH, 440952947Browse OH providers · Browse ZIP 44095
- Phone
- 4406690640
- Primary Specialty
-
Emotionally Disturbed Children Residential Treatment
320900000X
- Additional Specialty
- Adult Day Care Facility
- Additional Specialty
- Bus
- Additional Specialty
- Private Vehicle
- Additional Specialty
- Emotionally Disturbed Children Residential Treatment
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.