Provider Demographics
NPI:1164880704
Name:GRABLER, SHERREL (CMT, CR)
Entity Type:Individual
Prefix:MS
First Name:SHERREL
Middle Name:
Last Name:GRABLER
Suffix:
Gender:F
Credentials:CMT, CR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3605 E ANAHEIM ST UNIT 104
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90804-6418
Mailing Address - Country:US
Mailing Address - Phone:562-233-7082
Mailing Address - Fax:
Practice Address - Street 1:550 PACIFIC COAST HWY STE 207
Practice Address - Street 2:
Practice Address - City:SEAL BEACH
Practice Address - State:CA
Practice Address - Zip Code:90740-6657
Practice Address - Country:US
Practice Address - Phone:562-233-7082
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-09
Last Update Date:2016-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA31329174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist