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NPI Code Detail

MEDICARE: DR. ROBERT SHERRY PH.D.

MEDICARE: DR. ROBERT SHERRY PH.D.
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 PsychologistPA003202-LPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10005742602OTHERPAAETNA
2214029OTHERPAMANAGED HEALTH NETWORK
3000000V80UOTHERPAUPMC

General Provider Information

NPI Number : 1497750566
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERT SHERRY PH.D.
Provider Business Mailing Address
First Line : 212 ELYSIAN ST
Second Line :
City : PITTSBURGH
State : PA
Zip : 15206-4416
Country : US
Telephone Number : 412-361-5672
Fax Number : 412-362-3974
Provider Business Practice Location Address
First Line : 1 ALTOONA PL
Second Line :
City : PITTSBURGH
State : PA
Zip : 15228-1265
Country : US
Telephone Number : 412-344-5554
Fax Number : 412-362-3974
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2005
Last Update Date : 07/08/2007

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Directions to “ DR. ROBERT SHERRY PH.D.” Practice Location

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