Individual
DR. PHYLLIS SHERLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C0584
OR
103TC0700X
Clinical Psychologist
PSY7542
CA
106H00000X
Marriage & Family Therapist
MFC13561
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PSY075420
—
CA
Enumeration date
08/02/2006
Last updated
09/11/2025
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