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Individual

DR. JACQUELINE BELLE SHERMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
207 W MAIN ST, SUITE 3, LEWISTOWN, MT 59457-2718
(406) 350-1807
(406) 535-6450
Mailing address
207 W MAIN ST, SUITE 3, LEWISTOWN, MT 59457-2718
(406) 350-1807
(406) 535-6450

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
335
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0491402
MT
01
52371
BLUE CROSS BLUE SHIELD OF
MT
Enumeration date
02/02/2007
Last updated
06/28/2011
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