Provider Demographics
NPI:1568487775
Name:SHERRY, HELEN MARIE (PHD)
Entity type:Individual
Prefix:DR
First Name:HELEN
Middle Name:MARIE
Last Name:SHERRY
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 1:708 E. GRAND AVE.
Mailing Address - Street 2:SUITE D
Mailing Address - City:ARROYO GRANDE
Mailing Address - State:CA
Mailing Address - Zip Code:93420
Mailing Address - Country:US
Mailing Address - Phone:805-489-7131
Mailing Address - Fax:805-489-7131
Practice Address - Street 1:708 E GRAND AVE
Practice Address - Street 2:SUITE D
Practice Address - City:ARROYO GRANDE
Practice Address - State:CA
Practice Address - Zip Code:93420-3244
Practice Address - Country:US
Practice Address - Phone:805-489-7131
Practice Address - Fax:805-489-7131
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT15632106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist