Provider Demographics
NPI:1639424930
Name:SADBERRY, SHERIECE (PHD, LP, CMPC)
Entity Type:Individual
Prefix:DR
First Name:SHERIECE
Middle Name:
Last Name:SADBERRY
Suffix:
Gender:F
Credentials:PHD, LP, CMPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6922 W LINEBAUGH AVE STE 101C
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33625-5833
Mailing Address - Country:US
Mailing Address - Phone:813-538-0149
Mailing Address - Fax:844-371-0868
Practice Address - Street 1:6922 W LINEBAUGH AVE STE 101C
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33625
Practice Address - Country:US
Practice Address - Phone:813-538-0149
Practice Address - Fax:844-371-0868
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-23
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS2029103TC1900X, 103TE1100X
FL8416103TE1100X, 103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
No103TE1100XBehavioral Health & Social Service ProvidersPsychologistExercise & Sports