Provider Demographics
NPI:1912153735
Name:COLLIER, SHERYL JOY (MFT)
Entity Type:Individual
Prefix:MRS
First Name:SHERYL
Middle Name:JOY
Last Name:COLLIER
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:MRS
Other - First Name:SHERRY
Other - Middle Name:JOY
Other - Last Name:COLLIER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MFT
Mailing Address - Street 1:2725 JEFFERSON ST
Mailing Address - Street 2:SUITE 10
Mailing Address - City:CARLSBAD
Mailing Address - State:CA
Mailing Address - Zip Code:92008-1705
Mailing Address - Country:US
Mailing Address - Phone:760-445-3415
Mailing Address - Fax:
Practice Address - Street 1:2725 JEFFERSON ST
Practice Address - Street 2:SUITE 10
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92008-1705
Practice Address - Country:US
Practice Address - Phone:760-445-3415
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-12
Last Update Date:2008-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 42187106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist