Provider Demographics
NPI:1750529780
Name:SAXE, SHERI JOAN (MA, LLP, LPC)
Entity type:Individual
Prefix:
First Name:SHERI
Middle Name:JOAN
Last Name:SAXE
Suffix:
Gender:F
Credentials:MA, LLP, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3119 SLEAFORD DR
Mailing Address - Street 2:
Mailing Address - City:WATERFORD
Mailing Address - State:MI
Mailing Address - Zip Code:48329-3352
Mailing Address - Country:US
Mailing Address - Phone:248-505-8967
Mailing Address - Fax:
Practice Address - Street 1:3119 SLEAFORD DR
Practice Address - Street 2:
Practice Address - City:WATERFORD
Practice Address - State:MI
Practice Address - Zip Code:48329-3352
Practice Address - Country:US
Practice Address - Phone:248-505-8967
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-29
Last Update Date:2009-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401006387101YP2500X
MI6301003389103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional