Individual
DR. SHERRY SUE KOSTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
975 W FARIS RD, GREENVILLE, SC 29605-4241
(864) 729-8330
Mailing address
111 STAFFORD GREEN WAY, GREENVILLE, SC 29615-4357
(312) 315-4411
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
071.007456
IL
103T00000X
Psychologist
1111
SC
103TA0400X
Addiction (Substance Use Disorder) Psychologist
071.007456
IL
103TA0400X
Addiction (Substance Use Disorder) Psychologist
1111
SC
103TA0700X
Adult Development & Aging Psychologist
071.007456
IL
103TA0700X
Adult Development & Aging Psychologist
1111
SC
103TB0200X
Cognitive & Behavioral Psychologist
071.007456
IL
103TC0700X
Clinical Psychologist
071.007456
IL
103TC0700X
Clinical Psychologist
Primary
1111
SC
103TC2200X
Clinical Child & Adolescent Psychologist
071.007456
IL
103TC2200X
Clinical Child & Adolescent Psychologist
1111
SC
103TF0200X
Forensic Psychologist
071.007456
IL
103TH0004X
Health Psychologist
071.007456
IL
103TP2701X
Group Psychotherapy Psychologist
071.007456
IL
103TP2701X
Group Psychotherapy Psychologist
1111
SC
Other
Enumeration date
12/26/2008
Last updated
05/06/2024
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