Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | PS1010 | ME |
Y | 103T00000X | Psychologist | PS1010 | ME |
NPI | 1003857780 |
---|---|
Provider Name | Dr. Sheri L Wheelock |
First Address | Bangor, ME 04401-4909 |
Second Address | Newport, ME 04953-4004 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/06/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
098303 | ANTHEM LEGACY NUMBER (01) | ME |