Doctor Name: | SHERRY CARDINAL |
NPI Number: | 1356419238 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 12572 |
Business Practice Address: | 4310 Horseshoe Dr Needville, TX - 774618818 |
Business Phone Number: | 7135940859 |
Business Fax Number: | |
Mailing Address: | Po Box 1395, RICHMOND |
State: | TX |
Postal Code: | 774061395 |
Phone Number: | 7135940859 |
Fax Number: | 2813424537 |
NPI Enumeration Date: | 12/01/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 12572 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |