Provider Demographics
NPI:1760464259
Name:MASSEY, SHERRI L (LCMFT)
Entity Type:Individual
Prefix:
First Name:SHERRI
Middle Name:L
Last Name:MASSEY
Suffix:
Gender:F
Credentials:LCMFT
Other - Prefix:
Other - First Name:SHERRI
Other - Middle Name:LYNN
Other - Last Name:BROUGHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1408 POYNTZ AVE
Mailing Address - Street 2:
Mailing Address - City:MANHATTAN
Mailing Address - State:KS
Mailing Address - Zip Code:66502-4145
Mailing Address - Country:US
Mailing Address - Phone:785-776-4105
Mailing Address - Fax:785-537-2299
Practice Address - Street 1:1408 POYNTZ AVE
Practice Address - Street 2:
Practice Address - City:MANHATTAN
Practice Address - State:KS
Practice Address - Zip Code:66502-4145
Practice Address - Country:US
Practice Address - Phone:785-776-4105
Practice Address - Fax:785-537-2299
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-18
Last Update Date:2013-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS156106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist