Provider Demographics
NPI:1487025995
Name:SHERLOCK, PETER (PSYD)
Entity Type:Individual
Prefix:MR
First Name:PETER
Middle Name:
Last Name:SHERLOCK
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:870 MARKET ST STE 417
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94102-3010
Mailing Address - Country:US
Mailing Address - Phone:415-340-1170
Mailing Address - Fax:415-634-9644
Practice Address - Street 1:870 MARKET ST STE 417
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94102-3010
Practice Address - Country:US
Practice Address - Phone:415-340-1170
Practice Address - Fax:415-634-9644
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-09
Last Update Date:2023-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY33449103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical