Provider Demographics
NPI:1437250651
Name:ALLEN, SHERRI MARCELLE (PSYD)
Entity type:Individual
Prefix:DR
First Name:SHERRI
Middle Name:MARCELLE
Last Name:ALLEN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3595 REVERE RD SW
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30331-2340
Mailing Address - Country:US
Mailing Address - Phone:404-344-5946
Mailing Address - Fax:404-344-9920
Practice Address - Street 1:3595 REVERE RD SW
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30331-2340
Practice Address - Country:US
Practice Address - Phone:404-344-5946
Practice Address - Fax:404-344-9920
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2025-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPSY003725103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA521-53321OtherBLUE CROSS & BLUE SHIELD