Provider Demographics
NPI:1881857613
Name:MARTINDELL, SHERRY E (PHD)
Entity Type:Individual
Prefix:DR
First Name:SHERRY
Middle Name:E
Last Name:MARTINDELL
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 1:6260 S SUNBURY RD
Mailing Address - Street 2:SUITE 3
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43081-9002
Mailing Address - Country:US
Mailing Address - Phone:614-852-4418
Mailing Address - Fax:614-852-4094
Practice Address - Street 1:6260 S SUNBURY RD
Practice Address - Street 2:SUITE 3
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43081-9002
Practice Address - Country:US
Practice Address - Phone:614-852-4418
Practice Address - Fax:614-852-4094
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-02
Last Update Date:2017-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH6456103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist