Provider Demographics
NPI:1609359108
Name:DEMERY, SHEENA (PSYD)
Entity Type:Individual
Prefix:MS
First Name:SHEENA
Middle Name:
Last Name:DEMERY
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 E ST SE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20003-2620
Mailing Address - Country:US
Mailing Address - Phone:571-214-2464
Mailing Address - Fax:
Practice Address - Street 1:50 E ST SE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20003-2620
Practice Address - Country:US
Practice Address - Phone:571-214-2464
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-11
Last Update Date:2018-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC966537628OtherUNITED HEALTHCARE