Provider Demographics
NPI:1386807279
Name:WARNER, SHERRY (PHD)
Entity type:Individual
Prefix:DR
First Name:SHERRY
Middle Name:
Last Name:WARNER
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 1:99 VIA ROBLES
Mailing Address - Street 2:
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93940-6113
Mailing Address - Country:US
Mailing Address - Phone:831-372-4988
Mailing Address - Fax:831-372-3366
Practice Address - Street 1:99 VIA ROBLES
Practice Address - Street 2:
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-6113
Practice Address - Country:US
Practice Address - Phone:831-372-4988
Practice Address - Fax:831-372-3366
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-09
Last Update Date:2008-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY17231103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist