Individual
DR. SHERYL THAU BARDIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
17 HENSHAW ST, BRIGHTON, MA 02135-2905
(617) 332-0205
Mailing address
17 HENSHAW ST, BRIGHTON, MA 02135-2905
(617) 332-0205
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3688
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W03761
BLUE CROSS/BLUE SHIELD
MA
Enumeration date
07/18/2005
Last updated
10/06/2009
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