Doctor Name: | MARYBETH SHERRIN |
NPI Number: | 1184863912 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | A.L.M,, M.ED,.LMHC |
License Number: | 6352 |
Business Practice Address: | 29 Village Rd Sudbury, MA - 017761337 |
Business Phone Number: | 9785495000 |
Business Fax Number: | |
Mailing Address: | 29 Village Rd, SUDBURY |
State: | MA |
Postal Code: | 017761337 |
Phone Number: | 9785495000 |
Fax Number: | |
NPI Enumeration Date: | 02/18/2009 |
NPI Last Update Date: | 02/18/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 6352 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |