Provider Demographics
NPI:1255643896
Name:ALL, SHERRIE D (PHD)
Entity type:Individual
Prefix:DR
First Name:SHERRIE
Middle Name:D
Last Name:ALL
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 1:30 N MICHIGAN AVE STE 2029
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60602-3611
Mailing Address - Country:US
Mailing Address - Phone:773-345-3495
Mailing Address - Fax:877-259-2359
Practice Address - Street 1:30 N MICHIGAN AVE STE 2029
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60602-3611
Practice Address - Country:US
Practice Address - Phone:773-345-3495
Practice Address - Fax:877-259-2359
Is Sole Proprietor?:No
Enumeration Date:2010-07-12
Last Update Date:2023-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL071007929103TC0700X, 103G00000X, 103TA0700X, 103TB0200X, 103TP2701X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist
No103TA0700XBehavioral Health & Social Service ProvidersPsychologistAdult Development & Aging
No103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral
No103TP2701XBehavioral Health & Social Service ProvidersPsychologistGroup Psychotherapy