Provider Demographics
NPI:1376797175
Name:SANDERS, SHERRYL LYNN (MFT)
Entity Type:Individual
Prefix:
First Name:SHERRYL
Middle Name:LYNN
Last Name:SANDERS
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:180 W HUFFAKER LN
Mailing Address - Street 2:STE 303
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89511-2346
Mailing Address - Country:US
Mailing Address - Phone:775-741-6405
Mailing Address - Fax:
Practice Address - Street 1:180 W HUFFAKER LN
Practice Address - Street 2:STE 303
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89511-2346
Practice Address - Country:US
Practice Address - Phone:775-741-6405
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-11-06
Last Update Date:2008-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV0757106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist