Healthcare Provider Details

I. General information

NPI: 1013249465
Provider Name (Legal Business Name): SHERRI L. GIGUERE MT-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/10/2010
Last Update Date: 02/10/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4283 S 165TH WAY
GILBERT AZ
85297-6922
US

IV. Provider business mailing address

4283 S 165TH WAY
GILBERT AZ
85297-6922
US

V. Phone/Fax

Practice location:
  • Phone: 480-225-4639
  • Fax: 480-279-4880
Mailing address:
  • Phone: 480-225-4639
  • Fax: 480-279-4880

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225A00000X
TaxonomyMusic Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: