Provider Demographics
NPI:1124272695
Name:TANFERANI, SHERRI AC (PHD)
Entity type:Individual
Prefix:DR
First Name:SHERRI
Middle Name:AC
Last Name:TANFERANI
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8860 CORBIN AVE
Mailing Address - Street 2:#175
Mailing Address - City:NORTHRIDGE
Mailing Address - State:CA
Mailing Address - Zip Code:91324-3309
Mailing Address - Country:US
Mailing Address - Phone:818-993-5730
Mailing Address - Fax:
Practice Address - Street 1:8860 CORBIN AVE
Practice Address - Street 2:#175
Practice Address - City:NORTHRIDGE
Practice Address - State:CA
Practice Address - Zip Code:91324-3309
Practice Address - Country:US
Practice Address - Phone:818-993-5730
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-11
Last Update Date:2008-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY 22296103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical