Provider Demographics
NPI:1417184615
Name:HARRISON, SHERYL WHALEN (PHD)
Entity Type:Individual
Prefix:DR
First Name:SHERYL
Middle Name:WHALEN
Last Name:HARRISON
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:515 E CAREFREE HWY
Mailing Address - Street 2:STE. 328
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85085-8839
Mailing Address - Country:US
Mailing Address - Phone:480-483-9066
Mailing Address - Fax:623-465-1556
Practice Address - Street 1:6609 N SCOTTSDALE RD
Practice Address - Street 2:STE 103
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85250-7801
Practice Address - Country:US
Practice Address - Phone:480-483-9066
Practice Address - Fax:623-465-1556
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-15
Last Update Date:2009-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ822103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist