Provider Demographics
NPI:1326550930
Name:HARRELL, SHEERA NOADIYAH (PHD)
Entity type:Individual
Prefix:DR
First Name:SHEERA
Middle Name:NOADIYAH
Last Name:HARRELL
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1420 SHAW AVE STE 102-117
Mailing Address - Street 2:
Mailing Address - City:CLOVIS
Mailing Address - State:CA
Mailing Address - Zip Code:93611-4072
Mailing Address - Country:US
Mailing Address - Phone:559-202-3713
Mailing Address - Fax:
Practice Address - Street 1:4974 E CLINTON WAY STE C102
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93727-1531
Practice Address - Country:US
Practice Address - Phone:559-202-3713
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-11-05
Last Update Date:2024-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY32580103T00000X
103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist