Provider Demographics
NPI:1033587894
Name:KERRICK, SARAH PIERSON (PSY D)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:PIERSON
Last Name:KERRICK
Suffix:
Gender:F
Credentials:PSY D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1004 FAIRLANE DR
Mailing Address - Street 2:
Mailing Address - City:MURRAY
Mailing Address - State:KY
Mailing Address - Zip Code:42071-3040
Mailing Address - Country:US
Mailing Address - Phone:270-227-2016
Mailing Address - Fax:
Practice Address - Street 1:615 S 12TH ST
Practice Address - Street 2:SUITES F & G
Practice Address - City:MURRAY
Practice Address - State:KY
Practice Address - Zip Code:42071-2972
Practice Address - Country:US
Practice Address - Phone:270-227-2016
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-10
Last Update Date:2015-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYPSYLIP00222190103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical