Provider Demographics
NPI:1588928527
Name:DAVIS-BAY, SHERRY GAIL
Entity type:Individual
Prefix:
First Name:SHERRY
Middle Name:GAIL
Last Name:DAVIS-BAY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21190 COUNTY ROAD 1590
Mailing Address - Street 2:
Mailing Address - City:STONEWALL
Mailing Address - State:OK
Mailing Address - Zip Code:74871-6434
Mailing Address - Country:US
Mailing Address - Phone:580-272-7450
Mailing Address - Fax:
Practice Address - Street 1:21190 COUNTY ROAD 1590
Practice Address - Street 2:
Practice Address - City:STONEWALL
Practice Address - State:OK
Practice Address - Zip Code:74871-6434
Practice Address - Country:US
Practice Address - Phone:580-272-7450
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-25
Last Update Date:2012-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health