Provider Demographics
NPI:1982667739
Name:ADAMS, SHERYL L (PHD)
Entity Type:Individual
Prefix:
First Name:SHERYL
Middle Name:L
Last Name:ADAMS
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 1:2039 N MERIDIAN RD
Mailing Address - Street 2:APT. 175
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32303-5073
Mailing Address - Country:US
Mailing Address - Phone:850-894-0067
Mailing Address - Fax:850-894-0062
Practice Address - Street 1:1290 NW HONEY LAKE RD
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:FL
Practice Address - Zip Code:32331-4075
Practice Address - Country:US
Practice Address - Phone:954-536-9539
Practice Address - Fax:954-719-6762
Is Sole Proprietor?:No
Enumeration Date:2006-04-11
Last Update Date:2017-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY4450103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLBLUE CROSS/BLUE SHIEOther73791