| Doctor Name: | DR. SHERRYL JESSICA PETERSEN TOMASINO |
| NPI Number: | 1013958206 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D. |
| License Number: | O1671 |
| Business Practice Address: | 22660 Washngton St Leonardtown, MD - 206500604 |
| Business Phone Number: | 3014752020 |
| Business Fax Number: | 3014752102 |
| Mailing Address: | 41921 White Point Beach Rd, LEONARDTOWN |
| State: | MD |
| Postal Code: | 206505736 |
| Phone Number: | 3017514717 |
| Fax Number: | 3014752102 |
| NPI Enumeration Date: | 06/09/2006 |
| NPI Last Update Date: | 06/01/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | O1671 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |