Provider Demographics
NPI:1255799953
Name:STERLING, SHERRY
Entity type:Individual
Prefix:
First Name:SHERRY
Middle Name:
Last Name:STERLING
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2450 E SPEEDWAY BLVD
Mailing Address - Street 2:SUITE 5
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85719-4734
Mailing Address - Country:US
Mailing Address - Phone:520-990-0674
Mailing Address - Fax:
Practice Address - Street 1:2450 E SPEEDWAY BLVD
Practice Address - Street 2:SUITE 5
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85719-4734
Practice Address - Country:US
Practice Address - Phone:520-990-0674
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-09
Last Update Date:2016-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC-15739101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health