Provider Demographics
NPI:1598014151
Name:PEARLSTEIN, SHERI L (MS)
Entity Type:Individual
Prefix:MS
First Name:SHERI
Middle Name:L
Last Name:PEARLSTEIN
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:SHERI
Other - Middle Name:L
Other - Last Name:ROBBINS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MS
Mailing Address - Street 1:741 W MAIN ST
Mailing Address - Street 2:BOX 224
Mailing Address - City:BUFFALO
Mailing Address - State:MO
Mailing Address - Zip Code:65622-9304
Mailing Address - Country:US
Mailing Address - Phone:417-345-8991
Mailing Address - Fax:417-345-0609
Practice Address - Street 1:741 W MAIN ST
Practice Address - Street 2:BOX 224
Practice Address - City:BUFFALO
Practice Address - State:MO
Practice Address - Zip Code:65622-9304
Practice Address - Country:US
Practice Address - Phone:417-345-8991
Practice Address - Fax:417-345-0609
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-29
Last Update Date:2012-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2012030030101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional