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Individual

DR. SHERRY L ADDICOTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSYD

Contact information

Practice address
2201 E STATE ST, HERMITAGE, PA 16148-2727
(724) 981-7141
(724) 981-7148
Mailing address
1448 HALL AVE, SHARON, PA 16146-3536

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
6247
OH
103TC0700X
Clinical Psychologist
Primary
PS015250
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100000380
PA
Enumeration date
09/15/2006
Last updated
07/09/2007
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