Provider Demographics
NPI:1740271436
Name:SHEER, JEFFREY B (PHD)
Entity type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:B
Last Name:SHEER
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 1:529 MAIN ST
Mailing Address - Street 2:SUITE 607
Mailing Address - City:CHARLESTOWN
Mailing Address - State:MA
Mailing Address - Zip Code:02129-1125
Mailing Address - Country:US
Mailing Address - Phone:781-874-9109
Mailing Address - Fax:888-490-0703
Practice Address - Street 1:529 MAIN ST
Practice Address - Street 2:SUITE 607
Practice Address - City:CHARLESTOWN
Practice Address - State:MA
Practice Address - Zip Code:02129-1125
Practice Address - Country:US
Practice Address - Phone:781-874-9109
Practice Address - Fax:888-490-0703
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-02
Last Update Date:2014-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA8272103G00000X, 103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist
No103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAW06352OtherBCBS MA
MAW06352OtherBCBS MA