Individual
SHERYL KELLY BACKEBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., LP
Contact information
Practice address
46036 MICHIGAN AVE # 310, CANTON, MI 48188-2304
(734) 336-0263
Mailing address
46036 MICHIGAN AVE # 310, CANTON, MI 48188-2304
(734) 335-0263
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
071.022104
IL
103T00000X
Psychologist
Primary
6301018435
MI
Other
Enumeration date
06/08/2021
Last updated
05/19/2026
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