| Doctor Name: | MRS. KATHRYN SHERIDAN |
| NPI Number: | 1437520475 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | P010088 |
| Business Practice Address: | 356 Charlotte Rd Rutherfordton, NC - 281392916 |
| Business Phone Number: | 8282877945 |
| Business Fax Number: | |
| Mailing Address: | 200 Skyhawk Dr, Apt 235 BOILING SPRINGS |
| State: | SC |
| Postal Code: | 293166602 |
| Phone Number: | 7326930633 |
| Fax Number: | |
| NPI Enumeration Date: | 10/16/2015 |
| NPI Last Update Date: | 10/16/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | P010088 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |