MEDICARE: SHARI LOUISE ADLER

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
1	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1568977650
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHARI LOUISE ADLER

Provider Business Mailing Address
First Line	:	1217 WILDER ST
Second Line	:
City	:	PHILA
State	:	PA
Zip	:	19147-4926
Country	:	US
Telephone Number	:	267-973-5477
Fax Number	:

Provider Business Practice Location Address
First Line	:	1217 WILDER ST
Second Line	:
City	:	PHILA
State	:	PA
Zip	:	19147-4926
Country	:	US
Telephone Number	:	267-973-5477
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/11/2017
Last Update Date	:	12/11/2017

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Directions to “ SHARI LOUISE ADLER ” Practice Location

Language	Start Address	Practice Location

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