MEDICARE: MS. SHERRY LYNN DANNER MS, LMFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	1132	KS

General Provider Information

NPI Number	:	1265757165
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SHERRY LYNN DANNER MS, LMFT

Provider Business Mailing Address
First Line	:	11901 W. 109TH STREET
Second Line	:	309
City	:	OVERLAND PARK
State	:	KS
Zip	:	66210
Country	:	US
Telephone Number	:	913-558-2412
Fax Number	:

Provider Business Practice Location Address
First Line	:	15050 ANTIOCH
Second Line	:	SUITE 104
City	:	OVERLAND PARK
State	:	KS
Zip	:	66221-4704
Country	:	US
Telephone Number	:	913-558-2412
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/02/2010
Last Update Date	:	10/15/2011

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