Provider Demographics
NPI:1427601731
Name:PAKARKLIS, SHERI A
Entity Type:Individual
Prefix:
First Name:SHERI
Middle Name:A
Last Name:PAKARKLIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:SHERI
Other - Middle Name:A
Other - Last Name:PAKARKLIS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:1826 SWETLAND ST
Mailing Address - Street 2:
Mailing Address - City:SCRANTON
Mailing Address - State:PA
Mailing Address - Zip Code:18504-1830
Mailing Address - Country:US
Mailing Address - Phone:570-903-1506
Mailing Address - Fax:
Practice Address - Street 1:1826 SWETLAND ST
Practice Address - Street 2:
Practice Address - City:SCRANTON
Practice Address - State:PA
Practice Address - Zip Code:18504-1830
Practice Address - Country:US
Practice Address - Phone:570-903-1506
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-17
Last Update Date:2019-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor