NPI 1033422605

Cheryl Ann Rutherford-Ngoto

Practitioner Specialist Stone Mountain, GA

Practice location

Address: 6702 Treehills Pkwy, Stone Mountain, GA 30088-4605
Phone: (404) 914-1777
Mailing address: PO Box 941692, Atlanta, GA 31141-0692

Registered specialties (2)

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 107031 (GA)

Other Specialist providers in Georgia →

Behavior Analyst

Behavioral Health & Social Service Providers Taxonomy 103K00000X Licence 107031 (GA)

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Registry record

NPI: 1033422605
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Jul 2010
Record last updated: 17 Dec 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.