Provider Demographics
NPI:1538510136
Name:BYERS, SHERRY LEE (MSW)
Entity Type:Individual
Prefix:
First Name:SHERRY
Middle Name:LEE
Last Name:BYERS
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:S
Other - Middle Name:LEE
Other - Last Name:BYERS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSW
Mailing Address - Street 1:1224 CALHOUN ST
Mailing Address - Street 2:
Mailing Address - City:KALAMAZOO
Mailing Address - State:MI
Mailing Address - Zip Code:49006-2117
Mailing Address - Country:US
Mailing Address - Phone:269-599-9865
Mailing Address - Fax:
Practice Address - Street 1:1224 CALHOUN ST
Practice Address - Street 2:
Practice Address - City:KALAMAZOO
Practice Address - State:MI
Practice Address - Zip Code:49006-2117
Practice Address - Country:US
Practice Address - Phone:269-599-9865
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-24
Last Update Date:2016-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6801099874104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker