Sherry Bear
Individual provider Active NPI Developmental Therapist · Madison, IN
NPI 1487023586 · NPPES record last updated Sep 18, 2015
Key facts
- NPI
- 1487023586
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Developmental Therapist 222Q00000X
- License
- 1516258 (IN)
- Practice address
- 702 Elm Street
Madison, IN 47250 - Phone
- (812) 265-3448
- Fax
- (812) 365-3459
- NPI assigned
- Sep 18, 2015
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1516258 | IN | MD | Developmental Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | 1516258 | IN | Yes |
Addresses
Primary practice location
702 Elm Street
Madison, IN 47250
Mailing address
702 Elm St
Madison, IN 47250-3317
Phone (812) 265-3448
Other providers in Madison, IN
- Jamie Leigh Baker
- Dianna Jill Banks
- Clayton Barclay Jr.
- April Y Barr
- Stephanie Anne Barr
- Michael Z Bechard
- L. Barrett Bernard
- Susan M Berns
- Eric J Berseth
- Bethany Cares Home Health Services Inc
All providers in Madison, IN · Developmental Therapist in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 18, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.