Healthcare Provider Details

I. General information

NPI: 1932953346
Provider Name (Legal Business Name): SHERWOOD PSYCHOLOGY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/12/2024
Last Update Date: 04/12/2024
Certification Date: 04/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

SHERWOOD PSYCHOLOGY C/O HIX AND CORTESE, P.C. 160 S MAIN ST. SUITE 3
MILFORD MA
01757
US

IV. Provider business mailing address

13 HICKORY DR
MEDFIELD MA
02052-1132
US

V. Phone/Fax

Practice location:
  • Phone: 508-233-8249
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number StateNULL

VIII. Authorized Official

Name: AMELIA MICHELI
Title or Position: SOLE MEMBER
Credential: PSYD
Phone: 508-233-8249