Individual
ROBERT EDWARD SHERRILL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
701 W APACHE ST, FARMINGTON, NM 87401-5515
(505) 327-7777
(505) 327-7779
Mailing address
701 W APACHE ST, FARMINGTON, NM 87401-5515
(505) 327-7777
(505) 327-7779
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
142
NM
103TP0016X
Prescribing (Medical) Psychologist
Primary
0013
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
N7935
—
NM
Enumeration date
11/11/2005
Last updated
05/16/2013
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