Provider Demographics
NPI:1285365635
Name:SHERRON PSYCHOTHERAPY
Entity type:Organization
Organization Name:SHERRON PSYCHOTHERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:COURTNEY
Authorized Official - Middle Name:HANLEY
Authorized Official - Last Name:SHERRON
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:757-450-4875
Mailing Address - Street 1:785 W OCEAN VIEW AVE
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23503-1419
Mailing Address - Country:US
Mailing Address - Phone:757-450-4875
Mailing Address - Fax:
Practice Address - Street 1:785 W OCEAN VIEW AVE
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23503-1419
Practice Address - Country:US
Practice Address - Phone:757-450-4875
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-17
Last Update Date:2022-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty