Green, Sherrika
Green, Sherrika is an individual health care provider with primary practice located at 2283 International Blvd Apt 208 , Oakland CA 94606-5043. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Green, Sherrika can be contacted via phone (510) 866-3091.Contact Information
Primary practice address
2283 International Blvd Apt 208
Oakland CA 94606-5043
Phone: (510) 866-3091
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 32511 | California |
Profile Details
| NPI number | 1265815971 |
|---|---|
| LBN Legal business name | Green, Sherrika |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 30th, 2015 |
| Last updated | Feb 24th, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265815971 | NPPES |
| California | MEDICAID | 1811185259 | |
| California | MEDICAID | 1689863516 |
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