Provider Demographics
NPI:1649315870
Name:STRAHAN, SHERRY LYNN (LMFT)
Entity type:Individual
Prefix:MRS
First Name:SHERRY
Middle Name:LYNN
Last Name:STRAHAN
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 NE 72ND ST
Mailing Address - Street 2:
Mailing Address - City:GLADSTONE
Mailing Address - State:MO
Mailing Address - Zip Code:64118-1826
Mailing Address - Country:US
Mailing Address - Phone:816-489-3363
Mailing Address - Fax:816-452-7786
Practice Address - Street 1:101 NE 72ND ST
Practice Address - Street 2:
Practice Address - City:GLADSTONE
Practice Address - State:MO
Practice Address - Zip Code:64118-1826
Practice Address - Country:US
Practice Address - Phone:816-489-3363
Practice Address - Fax:816-452-7786
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-21
Last Update Date:2013-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2011005976106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO2011005976OtherSTATE COMMITTEE OF MARITAL AND FAMILY THERAPIST