Provider Demographics
NPI:1568977650
Name:ADLER, SHARI LOUISE
Entity Type:Individual
Prefix:
First Name:SHARI
Middle Name:LOUISE
Last Name:ADLER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1217 WILDER ST
Mailing Address - Street 2:
Mailing Address - City:PHILA
Mailing Address - State:PA
Mailing Address - Zip Code:19147-4926
Mailing Address - Country:US
Mailing Address - Phone:267-973-5477
Mailing Address - Fax:
Practice Address - Street 1:1217 WILDER ST
Practice Address - Street 2:
Practice Address - City:PHILA
Practice Address - State:PA
Practice Address - Zip Code:19147-4926
Practice Address - Country:US
Practice Address - Phone:267-973-5477
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-11
Last Update Date:2017-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician