| Doctor Name: | MS. SHEREL E WHITED |
| NPI Number: | 1194878538 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | M-04675 |
| Business Practice Address: | 501 S Abilene Ave Portales, NM - 881306380 |
| Business Phone Number: | 5053593707 |
| Business Fax Number: | |
| Mailing Address: | 8155 New Mexico 206, PORTALES |
| State: | NM |
| Postal Code: | 881309757 |
| Phone Number: | 5053568265 |
| Fax Number: | |
| NPI Enumeration Date: | 01/19/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041S0200X |
| License Number: | M-04675 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NM |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |