Provider Demographics
NPI:1558401026
Name:TOBIN, SHERRI LYN (EDS,LPC, LPCC, NCC,)
Entity Type:Individual
Prefix:MRS
First Name:SHERRI
Middle Name:LYN
Last Name:TOBIN
Suffix:
Gender:F
Credentials:EDS,LPC, LPCC, NCC,
Other - Prefix:MS
Other - First Name:SHERRI
Other - Middle Name:LYN
Other - Last Name:NEWELL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:EDS, NCSP
Mailing Address - Street 1:9888 W. BELLEVIEW AVE.
Mailing Address - Street 2:STE. 2099
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80123
Mailing Address - Country:US
Mailing Address - Phone:575-496-4049
Mailing Address - Fax:520-545-2120
Practice Address - Street 1:9888 W BELLEVIEW AVE STE 2099
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80123-2101
Practice Address - Country:US
Practice Address - Phone:575-496-4049
Practice Address - Fax:520-545-2120
Is Sole Proprietor?:No
Enumeration Date:2007-02-07
Last Update Date:2020-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMLPCC0155931101YP2500X
103TS0200X
AZ103TS0200X
AZED ID 3835753103TS0200X
COLPC0011423101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool