Provider Demographics
NPI:1861650525
Name:REMINGER, SHERYL (PHD)
Entity Type:Individual
Prefix:DR
First Name:SHERYL
Middle Name:
Last Name:REMINGER
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 1:614 W FAYETTE AVE
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:62704-2708
Mailing Address - Country:US
Mailing Address - Phone:217-553-6913
Mailing Address - Fax:
Practice Address - Street 1:2921 GREENBRIAR DR STE B1
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:IL
Practice Address - Zip Code:62704-6440
Practice Address - Country:US
Practice Address - Phone:175-463-1182
Practice Address - Fax:217-546-3184
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-29
Last Update Date:2019-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL071.006898103TC0700X
AZ3683103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist