Provider Demographics
NPI:1043371594
Name:THURER, SHARI L (SCD)
Entity Type:Individual
Prefix:DR
First Name:SHARI
Middle Name:L
Last Name:THURER
Suffix:
Gender:F
Credentials:SCD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:129 PINCKNEY ST
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02114-3208
Mailing Address - Country:US
Mailing Address - Phone:617-523-4103
Mailing Address - Fax:
Practice Address - Street 1:129 PINCKNEY ST
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-3208
Practice Address - Country:US
Practice Address - Phone:617-523-4103
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2357103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist