Individual
KRISTIN MARY SHERIDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1191 RIVER OAK DR, MOUNT PLEASANT, MI 48858-9301
(989) 773-6265
(989) 773-1409
Mailing address
1191 RIVER OAK DR, MOUNT PLEASANT, MI 48858-9301
(989) 773-6265
(989) 773-1409
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301005634
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
680C745000
BLUE CROSS BLUE SHIELD
MI
Enumeration date
11/01/2006
Last updated
10/31/2012
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