Provider Demographics
NPI:1205871340
Name:MCCLURG, SHERRI L (PSYD)
Entity type:Individual
Prefix:
First Name:SHERRI
Middle Name:L
Last Name:MCCLURG
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9401 MENTOR AVE # 309
Mailing Address - Street 2:
Mailing Address - City:MENTOR
Mailing Address - State:OH
Mailing Address - Zip Code:44060-4519
Mailing Address - Country:US
Mailing Address - Phone:440-290-9699
Mailing Address - Fax:
Practice Address - Street 1:8584 WASHINGTON ST, #2186
Practice Address - Street 2:
Practice Address - City:CHAGRIN FALLS
Practice Address - State:OH
Practice Address - Zip Code:44023-5369
Practice Address - Country:US
Practice Address - Phone:440-290-9699
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-20
Last Update Date:2023-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
376J00000X
OH5615103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No376J00000XNursing Service Related ProvidersHomemaker