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NPI Code Detail

MEDICARE: DR. DAE CHERYLYN SHERIDAN PH.D., LMHC,CRC

MEDICARE:  DR. DAE CHERYLYN SHERIDAN  PH.D., LMHC,CRC
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 CounselorMH#7154FL

General Provider Information

NPI Number : 1730483207
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAE CHERYLYN SHERIDAN PH.D., LMHC,CRC
Provider Business Mailing Address
First Line : 7320 E FLETCHER AVE
Second Line :
City : TAMPA
State : FL
Zip : 33637-0916
Country : US
Telephone Number : 813-431-8292
Fax Number :
Provider Business Practice Location Address
First Line : 7320 E FLETCHER AVE
Second Line :
City : TAMPA
State : FL
Zip : 33637-0916
Country : US
Telephone Number : 813-431-8292
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/27/2010
Last Update Date : 12/27/2010

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Directions to “ DR. DAE CHERYLYN SHERIDAN PH.D., LMHC,CRC” Practice Location

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