Doctor Name: | DR. SARAH PIERSON KERRICK |
NPI Number: | 1033587894 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PSY. D. |
License Number: | PSYLIP00222190 |
Business Practice Address: | 615 S 12th St Suites F & G Murray, KY - 420712972 |
Business Phone Number: | 2702272016 |
Business Fax Number: | |
Mailing Address: | 1004 Fairlane Dr, MURRAY |
State: | KY |
Postal Code: | 420713040 |
Phone Number: | 2702272016 |
Fax Number: | |
NPI Enumeration Date: | 09/10/2015 |
NPI Last Update Date: | 09/10/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | PSYLIP00222190 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |