Provider Demographics
NPI:1316282551
Name:NEBEKER, SHERRIE DAWN (LMFT)
Entity type:Individual
Prefix:MRS
First Name:SHERRIE
Middle Name:DAWN
Last Name:NEBEKER
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 1:650 E 450 S
Mailing Address - Street 2:
Mailing Address - City:SANTAQUIN
Mailing Address - State:UT
Mailing Address - Zip Code:84655-8062
Mailing Address - Country:US
Mailing Address - Phone:801-931-9814
Mailing Address - Fax:801-705-4042
Practice Address - Street 1:276 E 950 S
Practice Address - Street 2:
Practice Address - City:OREM
Practice Address - State:UT
Practice Address - Zip Code:84058-7054
Practice Address - Country:US
Practice Address - Phone:801-845-4406
Practice Address - Fax:801-705-4042
Is Sole Proprietor?:No
Enumeration Date:2012-11-28
Last Update Date:2022-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
106H00000X
UT8892921-3902106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist