Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | 3442 | MA |
Y | 103T00000X | Psychologist | 3442 | MA |
NPI | 1003945999 |
---|---|
Provider Name | Michael S Sherry |
First Address | Northampton, MA 01060-3900 |
Second Address | Northampton, MA 01060-3031 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/03/2007 |
Last Update Date | 08/07/2007 |