Provider Demographics
NPI:1942510813
Name:WESTBROOK, SHERRILYN ROBERTSON (PHD)
Entity Type:Individual
Prefix:
First Name:SHERRILYN
Middle Name:ROBERTSON
Last Name:WESTBROOK
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:SHERRILYN
Other - Middle Name:
Other - Last Name:ROBERTSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:1643 EUREKA RD
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95661-3027
Mailing Address - Country:US
Mailing Address - Phone:916-771-7611
Mailing Address - Fax:916-771-7650
Practice Address - Street 1:1643 EUREKA RD
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95661-3027
Practice Address - Country:US
Practice Address - Phone:916-771-7611
Practice Address - Fax:916-771-7650
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-13
Last Update Date:2022-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY23813103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical