Provider Demographics
NPI:1396202750
Name:ORRAHOOD, SHERI LYNN (PSYD)
Entity Type:Individual
Prefix:DR
First Name:SHERI
Middle Name:LYNN
Last Name:ORRAHOOD
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35959 N 7TH AVE
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85086-6306
Mailing Address - Country:US
Mailing Address - Phone:623-445-3520
Mailing Address - Fax:623-445-3580
Practice Address - Street 1:35959 N 7TH AVE
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85086-6306
Practice Address - Country:US
Practice Address - Phone:623-445-3500
Practice Address - Fax:623-445-3580
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-21
Last Update Date:2019-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ005055103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool