Lebeck, Sherry Lynn
Lebeck, Sherry Lynn is an sole proprietor health care provider with primary practice located at 3120 Telegraph Ave Ste 10 , Berkeley CA 94705-1965. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Rehabilitation. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Lebeck, Sherry Lynn can be contacted via phone (510) 282-5524.Contact Information
Primary practice address
3120 Telegraph Ave Ste 10
Berkeley CA 94705-1965
Phone: (510) 282-5524
Fax: (510) 526-2973
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PSY 18118 | California |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PSY18118 | California |
| Behavioral Health & Social Service Providers / Cognitive & Behavioral | 103TB0200X | PSY 18118 | California |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY 18118 | California |
| Behavioral Health & Social Service Providers / Rehabilitation | 103TR0400X | PSY 18118 | California |
Profile Details
| NPI number | 1255433850 |
|---|---|
| LBN Legal business name | Lebeck, Sherry Lynn |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 2nd, 2006 |
| Last updated | Apr 15th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255433850 | NPPES |
| California | Other | PSY 18118 | MAGELLAN |
| California | Other | PSY 18118 | MAGELLAN |
| California | Other | PSY 18118 | MAGELLAN |
| California | MEDICAID | PSY 18118 | MAGELLAN |
| California | Other | PSY 18118 | MAGELLAN |
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