Provider Demographics
NPI:1649420688
Name:SMITH, SHERRY HOANG (PHD)
Entity type:Individual
Prefix:DR
First Name:SHERRY
Middle Name:HOANG
Last Name:SMITH
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:SHERRY
Other - Middle Name:
Other - Last Name:HOANG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 3069
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28302-3069
Mailing Address - Country:US
Mailing Address - Phone:910-323-2311
Mailing Address - Fax:910-678-9963
Practice Address - Street 1:711 EXECUTIVE PL
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28305-5193
Practice Address - Country:US
Practice Address - Phone:910-323-2311
Practice Address - Fax:910-678-9963
Is Sole Proprietor?:No
Enumeration Date:2008-09-26
Last Update Date:2011-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent