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NPI Code Detail

MEDICARE: SHERRI WESTBROOK M.S., L.L.P.

MEDICARE: SHERRI WESTBROOK M.S., L.L.P.
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
1103TC0700XClinical Psychologist6361007211MI

General Provider Information

NPI Number : 1245240258
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHERRI WESTBROOK M.S., L.L.P.
Provider Business Mailing Address
First Line : 2415 24TH ST
Second Line :
City : PORT HURON
State : MI
Zip : 48060-6414
Country : US
Telephone Number : 810-488-8875
Fax Number :
Provider Business Practice Location Address
First Line : 2415 24TH ST
Second Line :
City : PORT HURON
State : MI
Zip : 48060-6414
Country : US
Telephone Number : 810-488-8875
Fax Number : 810-941-8833
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2006
Last Update Date : 07/26/2021

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