Provider Demographics
NPI:1972892941
Name:REDIGER, SHERRY STRAFFORD (MFT, PHD)
Entity Type:Individual
Prefix:DR
First Name:SHERRY
Middle Name:STRAFFORD
Last Name:REDIGER
Suffix:
Gender:F
Credentials:MFT, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:907 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:PLAINFIELD
Mailing Address - State:IN
Mailing Address - Zip Code:46168-1677
Mailing Address - Country:US
Mailing Address - Phone:317-839-1333
Mailing Address - Fax:
Practice Address - Street 1:1012 STAFFORD RD
Practice Address - Street 2:
Practice Address - City:PLAINFIELD
Practice Address - State:IN
Practice Address - Zip Code:46168-2228
Practice Address - Country:US
Practice Address - Phone:317-839-1333
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-30
Last Update Date:2011-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN35000969A106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist