Provider Demographics
NPI:1790896504
Name:SHERWOOD, HAYLEY BETH (PHD)
Entity Type:Individual
Prefix:DR
First Name:HAYLEY
Middle Name:BETH
Last Name:SHERWOOD
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2579 JOHN MILTON DR STE 210
Mailing Address - Street 2:
Mailing Address - City:HERNDON
Mailing Address - State:VA
Mailing Address - Zip Code:20171-2564
Mailing Address - Country:US
Mailing Address - Phone:703-214-4924
Mailing Address - Fax:703-214-4925
Practice Address - Street 1:2579 JOHN MILTON DR STE 210
Practice Address - Street 2:
Practice Address - City:HERNDON
Practice Address - State:VA
Practice Address - Zip Code:20171-2564
Practice Address - Country:US
Practice Address - Phone:703-214-4924
Practice Address - Fax:703-214-4925
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2017-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810002926103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA245996OtherANTHEM BCBS
VA245996OtherANTHEM BCBS