Addicott, Sherry L

Addicott, Sherry L is an individual health care provider with primary practice located at 2201 E State St , Hermitage PA 16148-2727. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Addicott, Sherry L can be contacted via phone (724) 981-7141.

Contact Information

Primary practice address
2201 E State St Hermitage PA 16148-2727
Phone: (724) 981-7141
Fax: (724) 981-7148
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PS015250 Pennsylvania
Behavioral Health & Social Service Providers / Clinical 103TC0700X 6247 Ohio

Profile Details

NPI number 1588760698
LBN Legal business name Addicott, Sherry L
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2006
Last updated Jul 9th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588760698 NPPES
Pennsylvania MEDICAID 100000380

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