Provider Demographics
NPI:1669819223
Name:SCOTT, SHERY LYNN (MA, AMFT)
Entity Type:Individual
Prefix:
First Name:SHERY
Middle Name:LYNN
Last Name:SCOTT
Suffix:
Gender:F
Credentials:MA, AMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13-3435 MAILE ST
Mailing Address - Street 2:
Mailing Address - City:PAHOA
Mailing Address - State:HI
Mailing Address - Zip Code:96778-8205
Mailing Address - Country:US
Mailing Address - Phone:808-825-4214
Mailing Address - Fax:866-985-6799
Practice Address - Street 1:224 KAMEHAMEHA AVE STE 201
Practice Address - Street 2:
Practice Address - City:HILO
Practice Address - State:HI
Practice Address - Zip Code:96720-2860
Practice Address - Country:US
Practice Address - Phone:808-825-4214
Practice Address - Fax:866-985-6799
Is Sole Proprietor?:No
Enumeration Date:2013-05-22
Last Update Date:2022-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)