Provider Demographics
NPI:1962437376
Name:SHERER, MARY GRACE (MA/LP)
Entity type:Individual
Prefix:DR
First Name:MARY
Middle Name:GRACE
Last Name:SHERER
Suffix:
Gender:F
Credentials:MA/LP
Other - Prefix:
Other - First Name:MARY
Other - Middle Name:GRACE
Other - Last Name:PERCIVAL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA/LP
Mailing Address - Street 1:8553 URBANDALE AVE
Mailing Address - Street 2:SUITE 110 DES MOINES PASTORAL COUNSELING CENTER
Mailing Address - City:URBANDALE
Mailing Address - State:IA
Mailing Address - Zip Code:50322-4108
Mailing Address - Country:US
Mailing Address - Phone:515-274-4006
Mailing Address - Fax:515-255-5697
Practice Address - Street 1:2929 WESTOWN PARKWAY
Practice Address - Street 2:SUITE 110 DES MOINES PASTORAL COUNSELING CENTER
Practice Address - City:WEST DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50266
Practice Address - Country:US
Practice Address - Phone:515-274-4006
Practice Address - Fax:515-255-5697
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2011-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA00557101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health