Provider Demographics
NPI:1063193456
Name:PURSEL BRESLIN, SHERRY KAE (MS)
Entity type:Individual
Prefix:
First Name:SHERRY
Middle Name:KAE
Last Name:PURSEL BRESLIN
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2047 PARKVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:ABINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:19001-1208
Mailing Address - Country:US
Mailing Address - Phone:215-620-4408
Mailing Address - Fax:
Practice Address - Street 1:1018 N BETHLEHEM PIKE STE 201A
Practice Address - Street 2:
Practice Address - City:LOWER GWYNEDD
Practice Address - State:PA
Practice Address - Zip Code:19002-2186
Practice Address - Country:US
Practice Address - Phone:267-477-3265
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-27
Last Update Date:2023-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional