Provider Demographics
NPI:1477227429
Name:SHERLYNE DIEUDONNE LPC LLC
Entity Type:Organization
Organization Name:SHERLYNE DIEUDONNE LPC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOTHERAPIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHERLYNE
Authorized Official - Middle Name:
Authorized Official - Last Name:DIEUDONNE
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:203-554-1882
Mailing Address - Street 1:25 BODYK PL
Mailing Address - Street 2:
Mailing Address - City:SHELTON
Mailing Address - State:CT
Mailing Address - Zip Code:06484-3901
Mailing Address - Country:US
Mailing Address - Phone:203-554-1882
Mailing Address - Fax:
Practice Address - Street 1:25 BODYK PL
Practice Address - Street 2:
Practice Address - City:SHELTON
Practice Address - State:CT
Practice Address - Zip Code:06484-3901
Practice Address - Country:US
Practice Address - Phone:203-554-1882
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-03
Last Update Date:2021-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty