Provider Demographics
NPI:1184168403
Name:PARRITT, SHERITA LYNN (BA)
Entity type:Individual
Prefix:MRS
First Name:SHERITA
Middle Name:LYNN
Last Name:PARRITT
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2725 SOCORRO LOOP
Mailing Address - Street 2:
Mailing Address - City:HOLLOMAN AIR FORCE BASE
Mailing Address - State:NM
Mailing Address - Zip Code:88330-8122
Mailing Address - Country:US
Mailing Address - Phone:575-491-8581
Mailing Address - Fax:
Practice Address - Street 1:6565 AMERICAS PKWY NE STE 200
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87110-8172
Practice Address - Country:US
Practice Address - Phone:866-273-2451
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-12-05
Last Update Date:2016-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician