Provider Demographics
NPI:1114573664
Name:SATTERFIELD, SHERRY LYNN
Entity Type:Individual
Prefix:
First Name:SHERRY
Middle Name:LYNN
Last Name:SATTERFIELD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31573 W COUNTY ROAD 1240
Mailing Address - Street 2:
Mailing Address - City:QUINTON
Mailing Address - State:OK
Mailing Address - Zip Code:74561-1015
Mailing Address - Country:US
Mailing Address - Phone:918-617-0107
Mailing Address - Fax:
Practice Address - Street 1:31573 W COUNTY ROAD 1240
Practice Address - Street 2:
Practice Address - City:QUINTON
Practice Address - State:OK
Practice Address - Zip Code:74561-1015
Practice Address - Country:US
Practice Address - Phone:918-617-0107
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-12
Last Update Date:2019-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)