Provider Demographics
NPI:1689933996
Name:MACPHERSON, SHERRY LEA (PHD, LPC,ACS)
Entity Type:Individual
Prefix:DR
First Name:SHERRY
Middle Name:LEA
Last Name:MACPHERSON
Suffix:
Gender:F
Credentials:PHD, LPC,ACS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:209 COTTAGE ST.
Mailing Address - Street 2:
Mailing Address - City:MILLVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08332
Mailing Address - Country:US
Mailing Address - Phone:856-305-8809
Mailing Address - Fax:
Practice Address - Street 1:2725 N DELSEA DR
Practice Address - Street 2:KEDESH COUNSELING CENTER
Practice Address - City:VINELAND
Practice Address - State:NJ
Practice Address - Zip Code:08360-2184
Practice Address - Country:US
Practice Address - Phone:856-691-5377
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-07
Last Update Date:2016-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00325800101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1689933996OtherPERSONAL NPI NUMBER ALREADY ASSIGNED