Provider Demographics
NPI:1972837342
Name:HODGE KERR, SHERRIE-ANN
Entity Type:Individual
Prefix:MISS
First Name:SHERRIE-ANN
Middle Name:
Last Name:HODGE KERR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:146 ALABAMA ST
Mailing Address - Street 2:
Mailing Address - City:MATTAPAN
Mailing Address - State:MA
Mailing Address - Zip Code:02126-1304
Mailing Address - Country:US
Mailing Address - Phone:617-378-5355
Mailing Address - Fax:
Practice Address - Street 1:294 PLEASANT ST STE 102
Practice Address - Street 2:
Practice Address - City:STOUGHTON
Practice Address - State:MA
Practice Address - Zip Code:02072-2571
Practice Address - Country:US
Practice Address - Phone:508-443-1305
Practice Address - Fax:888-315-9980
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-01
Last Update Date:2019-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor