Provider Demographics
NPI:1033442926
Name:POLIDORO, SHERRI ANN (MS)
Entity Type:Individual
Prefix:MRS
First Name:SHERRI
Middle Name:ANN
Last Name:POLIDORO
Suffix:
Gender:F
Credentials:MS
Other - Prefix:MS
Other - First Name:SHERRI
Other - Middle Name:ANN
Other - Last Name:CUMMINGS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BA
Mailing Address - Street 1:42145 LYNDIE LN
Mailing Address - Street 2:#102
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92591-3612
Mailing Address - Country:US
Mailing Address - Phone:951-699-4906
Mailing Address - Fax:951-587-2625
Practice Address - Street 1:42145 LYNDIE LN
Practice Address - Street 2:#102
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92591-3612
Practice Address - Country:US
Practice Address - Phone:951-699-4906
Practice Address - Fax:951-587-2625
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-10
Last Update Date:2009-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor