Doctor Name: | MS. SHERRI L SULLIVAN |
NPI Number: | 1184928913 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PCC-SUPV, LCDC III |
License Number: | E0003781 |
Business Practice Address: | 100 Parker Ct Chardon, OH - 440241141 |
Business Phone Number: | 4402861553 |
Business Fax Number: | |
Mailing Address: | 100 Parker Ct, CHARDON |
State: | OH |
Postal Code: | 440241141 |
Phone Number: | 4402861553 |
Fax Number: | |
NPI Enumeration Date: | 01/09/2011 |
NPI Last Update Date: | 01/09/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | E0003781 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |