Provider Information for 1508905621
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Ms. SHERRI MICHELE FLOURNOY LCSW R
Other Names:Former Name:SHERRI MICHELE PETTIFORD CSWSex: Female
NPI: 1508905621
Last Updated: 2008-04-11
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1508905621 | ||||||||
| Enumeration Date | 2007-02-05 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 1150 OSSIPEE ROAD WEST HEMPSTEAD, NY 11552 United States Phone: 516-536-1835 | Fax: | ||||||||
| Primary Practice Address | 87 - 86 188TH STREET 1 LEVEL HOLLIS, NY 11423 United States Phone: 917-863-6910 | Fax: | ||||||||
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