Provider Demographics
NPI:1649343419
Name:COTLER, SHERWIN BARRY (PHD)
Entity type:Individual
Prefix:DR
First Name:SHERWIN
Middle Name:BARRY
Last Name:COTLER
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2838 MADRONA BCH. RD. NW
Mailing Address - Street 2:
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98502
Mailing Address - Country:US
Mailing Address - Phone:360-878-6380
Mailing Address - Fax:
Practice Address - Street 1:2838 MADRONA BCH. RD. NW
Practice Address - Street 2:
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98502
Practice Address - Country:US
Practice Address - Phone:360-878-6380
Practice Address - Fax:360-352-7881
Is Sole Proprietor?:No
Enumeration Date:2006-11-17
Last Update Date:2023-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPY00000778103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical