Provider Demographics
NPI:1669511747
Name:STOVALL, SHERRY Y (BSW)
Entity Type:Individual
Prefix:MRS
First Name:SHERRY
Middle Name:Y
Last Name:STOVALL
Suffix:
Gender:F
Credentials:BSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2600 WEST 9TH STREET
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19013-2098
Mailing Address - Country:US
Mailing Address - Phone:610-497-7703
Mailing Address - Fax:610-497-7322
Practice Address - Street 1:2600 WEST 9TH STREET
Practice Address - Street 2:
Practice Address - City:CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19013-2098
Practice Address - Country:US
Practice Address - Phone:610-497-7703
Practice Address - Fax:610-497-7322
Is Sole Proprietor?:No
Enumeration Date:2007-02-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health