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NPI Code Detail

MEDICARE: MISS SHERYL DENIESE HUEZO-MESHACK MSW

MEDICARE:  MISS SHERYL DENIESE HUEZO-MESHACK  MSW
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1366571184
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS SHERYL DENIESE HUEZO-MESHACK MSW
Provider Business Mailing Address
First Line : 13130 BURBANK BLVD
Second Line :
City : SHERMAN OAKS
State : CA
Zip : 91401-6037
Country : US
Telephone Number : 818-779-5261
Fax Number :
Provider Business Practice Location Address
First Line : 13130 BURBANK BLVD
Second Line :
City : SHERMAN OAKS
State : CA
Zip : 91401-6037
Country : US
Telephone Number : 818-779-5261
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/05/2007
Last Update Date : 05/20/2014

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Directions to “ MISS SHERYL DENIESE HUEZO-MESHACK MSW” Practice Location

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