Sherman, Marissa Elizabeth
Sherman, Marissa Elizabeth is an sole proprietor health care provider with primary practice located at 9140 S State St Suite 202, Sandy UT 84070-2684. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Sherman, Marissa Elizabeth can be contacted via phone (408) 375-3311.Contact Information
Primary practice address
9140 S State St Suite 202
Sandy UT 84070-2684
Phone: (408) 375-3311
Fax: (866) 540-1490
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 8173984-6004 | Utah |
Behavioral Health & Social Service Providers / Professional | 101YP2500X | 8173984-6004 | Utah |
Behavioral Health & Social Service Providers / Counselor | 101Y00000X | 8173984-6004 | Utah |
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 8173984-6004 | Utah |
Profile Details
NPI number | 1568720472 |
---|---|
LBN Legal business name | Sherman, Marissa Elizabeth |
Credentials | M.S., CMHC, PCI |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 27th, 2012 |
Last updated | Apr 25th, 2016 - about 8 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 | 1568720472 | NPPES |
Utah | MEDICAID | 1770721300 |
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