Provider Demographics
NPI:1215116397
Name:SHERR, VIRGINIA TRUITT (MD)
Entity type:Individual
Prefix:DR
First Name:VIRGINIA
Middle Name:TRUITT
Last Name:SHERR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:47 CRESCENT DR
Mailing Address - Street 2:
Mailing Address - City:HOLLAND
Mailing Address - State:PA
Mailing Address - Zip Code:18966-2105
Mailing Address - Country:US
Mailing Address - Phone:215-322-6567
Mailing Address - Fax:215-322-9663
Practice Address - Street 1:47 CRESCENT DR
Practice Address - Street 2:
Practice Address - City:HOLLAND
Practice Address - State:PA
Practice Address - Zip Code:18966-2105
Practice Address - Country:US
Practice Address - Phone:215-322-6567
Practice Address - Fax:215-322-9663
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-25
Last Update Date:2007-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPAMD005489E2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAB33306Medicare UPIN