Provider Demographics
NPI:1548767742
Name:THOMSON, SHERER BOSWELL (LPC)
Entity Type:Individual
Prefix:
First Name:SHERER
Middle Name:BOSWELL
Last Name:THOMSON
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1025 MONTGOMERY HWY STE 214
Mailing Address - Street 2:
Mailing Address - City:VESTAVIA HILLS
Mailing Address - State:AL
Mailing Address - Zip Code:35216-2830
Mailing Address - Country:US
Mailing Address - Phone:205-705-4459
Mailing Address - Fax:
Practice Address - Street 1:1025 MONTGOMERY HWY STE 214
Practice Address - Street 2:
Practice Address - City:VESTAVIA HILLS
Practice Address - State:AL
Practice Address - Zip Code:35216-2830
Practice Address - Country:US
Practice Address - Phone:205-705-4459
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-12
Last Update Date:2018-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL3056101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional