MEDICARE: SHERI P ASHCRAFT PSY D PA

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	103TC0700X	Clinical Psychologist	PY5850	FL

General Provider Information

NPI Number	:	1871630962
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHERI P ASHCRAFT PSY D PA

Provider Business Mailing Address
First Line	:	2000 S DIXIE HWY
Second Line	:	SUITE 104
City	:	COCONUT GROVE
State	:	FL
Zip	:	33133-2456
Country	:	US
Telephone Number	:	305-759-4228
Fax Number	:	305-860-6404

Provider Business Practice Location Address
First Line	:	2000 S DIXIE HWY
Second Line	:	SUITE 104
City	:	COCONUT GROVE
State	:	FL
Zip	:	33133-2456
Country	:	US
Telephone Number	:	305-759-4228
Fax Number	:	305-860-6404

Authorized Official
Title or Position	:	PSYCHOLOGIST
Name	:	DR. SHERI P ASHCRAFT
Credential	:	PSY.D.
Telephone Number	:	305-759-4228

Provider Enumeration Date	:	01/30/2007
Last Update Date	:	10/30/2007

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