Provider Demographics
NPI:1932844834
Name:DR. SHERRY STEENWYK, PH.D., LLC
Entity Type:Organization
Organization Name:DR. SHERRY STEENWYK, PH.D., LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SHERRY
Authorized Official - Middle Name:ANN MILBRIGHT
Authorized Official - Last Name:STEENWYK
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:616-320-4886
Mailing Address - Street 1:2025 E BELTLINE AVE SE STE 102
Mailing Address - Street 2:
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49546-7673
Mailing Address - Country:US
Mailing Address - Phone:616-320-4886
Mailing Address - Fax:
Practice Address - Street 1:2025 E BELTLINE AVE SE STE 102
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49546-7673
Practice Address - Country:US
Practice Address - Phone:616-320-4886
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-04
Last Update Date:2022-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty