| Doctor Name: | MRS. SHERRY MACALUSO |
| NPI Number: | 1760849459 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC, LPES |
| License Number: | 3067 |
| Business Practice Address: | 2008 Old Birch Drive Blythewood, SC - 29016 |
| Business Phone Number: | 8037351497 |
| Business Fax Number: | |
| Mailing Address: | 2008 Old Birch Drive, BLYTHEWOOD |
| State: | SC |
| Postal Code: | 29016 |
| Phone Number: | 8037351497 |
| Fax Number: | |
| NPI Enumeration Date: | 01/26/2016 |
| NPI Last Update Date: | 01/26/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC1900X |
| License Number: | 3067 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | SC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Counseling |
| Taxonomy Definition: | |