Provider Demographics
NPI:1558684357
Name:SHENKIN, SHERRIE LEIGH (MA)
Entity Type:Individual
Prefix:
First Name:SHERRIE
Middle Name:LEIGH
Last Name:SHENKIN
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:88 INVERNESS CIR E
Mailing Address - Street 2:SUITE L107
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80112-5304
Mailing Address - Country:US
Mailing Address - Phone:303-947-9305
Mailing Address - Fax:720-302-1206
Practice Address - Street 1:88 INVERNESS CIR E
Practice Address - Street 2:SUITE L107
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80112-5304
Practice Address - Country:US
Practice Address - Phone:303-947-9305
Practice Address - Fax:720-302-1206
Is Sole Proprietor?:No
Enumeration Date:2010-03-08
Last Update Date:2010-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO10685101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health