Individual
SHERRY A FALSETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1221 E STATE ST, UNIVERSITY FAMILY HEALTH CENTER, ROCKFORD, IL 61104-2231
(815) 972-1000
(815) 972-1033
Mailing address
1601 PARKVIEW AVE, CREDENTIALING S233, ROCKFORD, IL 61107-1822
(815) 395-5861
(815) 395-5575
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071006504
IL
2084P0800X
Psychiatry Physician
071006504
IL
Other
Enumeration date
12/02/2005
Last updated
05/20/2014
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