Healthcare Provider Details

I. General information

NPI: 1205871340
Provider Name (Legal Business Name): SHERRI L. MCCLURG PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/20/2006
Last Update Date: 08/29/2023
Certification Date: 08/29/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8584 WASHINGTON ST, #2186
CHAGRIN FALLS OH
44023-5369
US

IV. Provider business mailing address

9401 MENTOR AVE # 309
MENTOR OH
44060-4519
US

V. Phone/Fax

Practice location:
  • Phone: 440-290-9699
  • Fax:
Mailing address:
  • Phone: 440-290-9699
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number5615
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: