Sherman, Marissa Elizabeth

Sherman, Marissa Elizabeth is an sole proprietor health care provider with primary practice located at 9140 S State St Suite 202, Sandy UT 84070-2684. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Sherman, Marissa Elizabeth can be contacted via phone (408) 375-3311.

Contact Information

Primary practice address
9140 S State St Suite 202 Sandy UT 84070-2684
Phone: (408) 375-3311
Fax: (866) 540-1490
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 8173984-6004 Utah
Behavioral Health & Social Service Providers / Professional 101YP2500X 8173984-6004 Utah
Behavioral Health & Social Service Providers / Counselor 101Y00000X 8173984-6004 Utah
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 8173984-6004 Utah

Profile Details

NPI number 1568720472
LBN Legal business name Sherman, Marissa Elizabeth
Credentials M.S., CMHC, PCI
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 27th, 2012
Last updated Apr 25th, 2016 - about 10 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 1568720472 NPPES
Utah MEDICAID 1770721300

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