Shundoff, Sheryl K

Shundoff, Sheryl K is an sole proprietor health care provider with primary practice located at 4111 4Th Avenue Suite 32, Kearney NE 68845-2884. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Shundoff, Sheryl K can be contacted via phone (308) 234-6029.

Contact Information

Primary practice address
4111 4Th Avenue Suite 32 Kearney NE 68845-2884
Phone: (308) 234-6029
Fax: (308) 237-4792
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PHD172 Nebraska
Behavioral Health & Social Service Providers / Clinical 103TC0700X PHD172 Nebraska

Profile Details

NPI number 1427028877
LBN Legal business name Shundoff, Sheryl K
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 26th, 2006
Last updated Jul 15th, 2010 - about 16 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 1427028877 NPPES
Nebraska MEDICAID 47077781326

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