Provider Demographics
NPI:1114063351
Name:ELKINS, SHERILYN DEANN (MSMFTI)
Entity Type:Individual
Prefix:
First Name:SHERILYN
Middle Name:DEANN
Last Name:ELKINS
Suffix:
Gender:F
Credentials:MSMFTI
Other - Prefix:
Other - First Name:SHERILYN
Other - Middle Name:DEANN
Other - Last Name:ANDRUS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 1476
Mailing Address - Street 2:
Mailing Address - City:PARADISE
Mailing Address - State:CA
Mailing Address - Zip Code:95967
Mailing Address - Country:US
Mailing Address - Phone:530-872-4260
Mailing Address - Fax:530-872-4093
Practice Address - Street 1:6249 SKYWAY
Practice Address - Street 2:
Practice Address - City:PARADISE
Practice Address - State:CA
Practice Address - Zip Code:95969
Practice Address - Country:US
Practice Address - Phone:530-872-4260
Practice Address - Fax:530-872-4093
Is Sole Proprietor?:No
Enumeration Date:2007-01-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA45714IMF106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist