Provider Demographics
NPI:1285700914
Name:HULSTINE, SHERRY LYN (LMFT)
Entity type:Individual
Prefix:MRS
First Name:SHERRY
Middle Name:LYN
Last Name:HULSTINE
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2382 FARADAY AVE
Mailing Address - Street 2:SUITE 250
Mailing Address - City:CARLSBAD
Mailing Address - State:CA
Mailing Address - Zip Code:92008-7218
Mailing Address - Country:US
Mailing Address - Phone:619-997-3695
Mailing Address - Fax:
Practice Address - Street 1:2382 FARADAY AVE
Practice Address - Street 2:SUITE 250
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92008-7218
Practice Address - Country:US
Practice Address - Phone:760-603-1868
Practice Address - Fax:760-752-4433
Is Sole Proprietor?:No
Enumeration Date:2006-11-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC29562106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist