Doctor Name: | DR. TINA M. SHERRY |
NPI Number: | 1497802813 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PSY.D. |
License Number: | 4344 |
Business Practice Address: | 784 Franklin Ave Franklin Lakes, NJ - 074171306 |
Business Phone Number: | 2016691369 |
Business Fax Number: | |
Mailing Address: | 784 Franklin Ave, FRANKLIN LAKES |
State: | NJ |
Postal Code: | 074171306 |
Phone Number: | 2016691369 |
Fax Number: | |
NPI Enumeration Date: | 01/05/2007 |
NPI Last Update Date: | 04/08/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 4344 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |