Cherie R Brisebois-Tetrault, RE LE CLT LLT
Specialist/Technologist, Other in South Hadley, Massachusetts
1437618832- Practice location
- 460 Granby RD, South Hadley, MA 01075-2145
- Phone
- 413-733-2499
- Fax
- 413-255-0443
- Last updated
- August 10, 2026
Cherie Renee Brisebois-Tetrault is a Specialist/Technologist, Other based in South Hadley, MA. Cherie Renee Brisebois-Tetrault practices in South Hadley, MA and has the professional credentials of RE LE CLT LLT. The NPI Number for Cherie Renee Brisebois-Tetrault is 1437618832 and holds a License No. 1702 (MA). The current practice location address for Cherie Renee Brisebois-Tetrault is 460 Granby RD, South Hadley, MA 01075-2145 and can be reached out via phone at 413-733-2499 and via fax at 413-255-0443.
Provider Profile Details
- NPI Number
- 1437618832
- Provider Name
- Cherie Renee Brisebois-Tetrault
- Credential
- RE LE CLT LLT
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 460 Granby RD, South Hadley, MA 01075-2145
- Phone Number
- 413-733-2499
- Fax Number
- 413-255-0443
- Primary Taxonomy
- Specialist/Technologist, Other · 246Z00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 15, 2019
- Last Update Date
- August 10, 2026
- Certification Date
- August 10, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 460 Granby RD
South Hadley, MA 01075-2145 - City
- South Hadley
- State
- Massachusetts
- Zip
- 01075-2145
- Phone Number
- 413-733-2499
- Fax Number
- 413-255-0443
Provider Business Mailing Address Details
- Address
- 460 Granby RD
South Hadley, MA 01075-2145 - City
- South Hadley
- State
- MA
- Zip
- 01075-2145
- Phone Number
- 413-733-2499
- Fax Number
- 413-255-0443
License Information
- License Number (1)
- 1702
- License State (1)
- MA
- Taxonomy (1)
- Specialist/Technologist, Other · 246Z00000X · Primary
- License Number (2)
- L-30
- License State (2)
- MA
- Taxonomy (2)
- Specialist/Technologist, Other · 246Z00000X
- License Number (3)
- 547
- License State (3)
- CT
- Taxonomy (3)
- Specialist/Technologist, Other · 246Z00000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Cherie R Brisebois-Tetrault, RE LE CLT LLT?
The NPI number of Cherie R Brisebois-Tetrault, RE LE CLT LLT is 1437618832. It was assigned on March 15, 2019 and is currently active in the NPPES registry.
What is the specialty of Cherie R Brisebois-Tetrault, RE LE CLT LLT?
Cherie R Brisebois-Tetrault, RE LE CLT LLT is registered under the primary taxonomy Specialist/Technologist, Other (code 246Z00000X), licensed in MA under license number 1702.
Where does Cherie R Brisebois-Tetrault, RE LE CLT LLT practice?
The practice location is 460 Granby RD, South Hadley, MA 01075-2145. The office can be reached at 413-733-2499 (phone) or 413-255-0443 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1437618832 directly on the NPPES registry website.