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Individual

DR. SHERRY LYNNE WHATLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
300 N MAIN ST, TAYLOR, TX 76574-3641
(512) 365-2211
(512) 352-6691
Mailing address
300 N MAIN ST, TAYLOR, TX 76574-3641
(512) 365-2211
(512) 352-6691

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
26885
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10040270
AMERIGROUP
TX
01
547824
VALUE OPTIONS
TX
01
87102A
BLUE CROSS BLUE SHIELD
TX
Enumeration date
01/01/2007
Last updated
07/08/2007
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