Provider Demographics
NPI:1316115512
Name:NEMERSON, SHERALYN BETH (MA)
Entity type:Individual
Prefix:MS
First Name:SHERALYN
Middle Name:BETH
Last Name:NEMERSON
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 S JUNIPER ST
Mailing Address - Street 2:SUITE 205
Mailing Address - City:ESCONDIDO
Mailing Address - State:CA
Mailing Address - Zip Code:92025-4229
Mailing Address - Country:US
Mailing Address - Phone:760-510-5654
Mailing Address - Fax:760-432-8347
Practice Address - Street 1:210 S JUNIPER ST
Practice Address - Street 2:SUITE 210
Practice Address - City:ESCONDIDO
Practice Address - State:CA
Practice Address - Zip Code:92025-4229
Practice Address - Country:US
Practice Address - Phone:760-519-5654
Practice Address - Fax:760-432-8347
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-11
Last Update Date:2008-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT16497106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist