Provider Demographics
NPI:1427134642
Name:ABRAHAM, SHERRI B (PSYD)
Entity type:Individual
Prefix:
First Name:SHERRI
Middle Name:B
Last Name:ABRAHAM
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11092 HIDDEN TRAIL DR
Mailing Address - Street 2:
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-2356
Mailing Address - Country:US
Mailing Address - Phone:443-602-0928
Mailing Address - Fax:443-264-1404
Practice Address - Street 1:11092 HIDDEN TRAIL DR
Practice Address - Street 2:
Practice Address - City:OWINGS MILLS
Practice Address - State:MD
Practice Address - Zip Code:21117-2356
Practice Address - Country:US
Practice Address - Phone:443-602-0928
Practice Address - Fax:443-264-1404
Is Sole Proprietor?:No
Enumeration Date:2006-10-31
Last Update Date:2024-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD04578103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL54559OtherBLUE CROSS BLUE SHIELD FL
FL54559OtherBLUE CROSS BLUE SHIELD FL