Provider Demographics
NPI:1194368225
Name:DUDASH, SHERI (BS)
Entity Type:Individual
Prefix:MRS
First Name:SHERI
Middle Name:
Last Name:DUDASH
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 W CENTRE ST
Mailing Address - Street 2:
Mailing Address - City:MAHANOY CITY
Mailing Address - State:PA
Mailing Address - Zip Code:17948-2670
Mailing Address - Country:US
Mailing Address - Phone:570-728-2861
Mailing Address - Fax:
Practice Address - Street 1:1 W CENTRE ST
Practice Address - Street 2:
Practice Address - City:MAHANOY CITY
Practice Address - State:PA
Practice Address - Zip Code:17948-2670
Practice Address - Country:US
Practice Address - Phone:570-728-2861
Practice Address - Fax:570-300-2778
Is Sole Proprietor?:No
Enumeration Date:2019-10-22
Last Update Date:2019-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional