Doctor Name: | MRS. SHERRI ANN BRINSKELLE |
NPI Number: | 1508952102 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW, LCSW,LMSW |
License Number: | 069571-1 |
Business Practice Address: | Route 6, The Golden Mile Wysox, PA - 18854 |
Business Phone Number: | 5707463605 |
Business Fax Number: | 5707469198 |
Mailing Address: | Rr 1 Box 34c, WYALUSING |
State: | PA |
Postal Code: | 188539715 |
Phone Number: | 5707463605 |
Fax Number: | 5707469198 |
NPI Enumeration Date: | 10/04/2006 |
NPI Last Update Date: | 12/03/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 069571-1 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |