Individual
JAN F SHERBAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
3023 BROAD ST, CHATTANOOGA, TN 37408-3075
(423) 752-5207
(423) 752-5299
Mailing address
3023 BROAD ST, CHATTANOOGA, TN 37408-3075
(423) 752-5207
(423) 752-5299
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
P02400
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3164854
BLUE CROSS BLUE SHIELD
TN
01
—
455336000
MAGELLAN
TN
Enumeration date
01/18/2007
Last updated
04/05/2011
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