Provider Demographics
NPI:1790451409
Name:UQDAH, SHERRI NOELLE (MA)
Entity Type:Individual
Prefix:MRS
First Name:SHERRI
Middle Name:NOELLE
Last Name:UQDAH
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:615 SOUTH BLVD APT D
Mailing Address - Street 2:
Mailing Address - City:OAK PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60302-4606
Mailing Address - Country:US
Mailing Address - Phone:773-562-0158
Mailing Address - Fax:
Practice Address - Street 1:615 SOUTH BLVD APT D
Practice Address - Street 2:
Practice Address - City:OAK PARK
Practice Address - State:IL
Practice Address - Zip Code:60302-4606
Practice Address - Country:US
Practice Address - Phone:773-562-0158
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-22
Last Update Date:2021-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor