Provider Demographics
NPI:1013434513
Name:RANJBAR, SHERRY (MED)
Entity Type:Individual
Prefix:
First Name:SHERRY
Middle Name:
Last Name:RANJBAR
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:SHARAREH
Other - Middle Name:
Other - Last Name:RANJBAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:13 HORSESHOE RD
Mailing Address - Street 2:
Mailing Address - City:CHELMSFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01824-1029
Mailing Address - Country:US
Mailing Address - Phone:781-354-4606
Mailing Address - Fax:
Practice Address - Street 1:13 HORSESHOE RD
Practice Address - Street 2:
Practice Address - City:CHELMSFORD
Practice Address - State:MA
Practice Address - Zip Code:01824
Practice Address - Country:US
Practice Address - Phone:781-354-4606
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-24
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health