| Doctor Name: | SHERRY BERDE |
| NPI Number: | 1134288962 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | LP 1429 |
| Business Practice Address: | 3570 Lexington Ave N Ste 100 Shoreview, MN - 551268058 |
| Business Phone Number: | 6514810637 |
| Business Fax Number: | |
| Mailing Address: | 1919 Wachtler Ave, MENDOTA HEIGHTS |
| State: | MN |
| Postal Code: | 551184333 |
| Phone Number: | 6512307514 |
| Fax Number: | |
| NPI Enumeration Date: | 12/07/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | LP 1429 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |