Broadwell, Sherry Diane

Broadwell, Sherry Diane is an sole proprietor health care provider with primary practice located at 517B Green Street , Gainesville GA 30501. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Broadwell, Sherry Diane can be contacted via phone (706) 949-3131.

Contact Information

Primary practice address
517B Green Street Gainesville GA 30501
Phone: (706) 949-3131
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X Georgia

Profile Details

NPI number 1497184121
LBN Legal business name Broadwell, Sherry Diane
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 4th, 2013
Last updated Sep 21st, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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