Provider Demographics
NPI:1144468562
Name:ZANDER, SHERIE LYNNE (PHD)
Entity type:Individual
Prefix:DR
First Name:SHERIE
Middle Name:LYNNE
Last Name:ZANDER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:SHERIE
Other - Middle Name:
Other - Last Name:NEWELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1601 N. BUNDY DR.
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90049-1522
Mailing Address - Country:US
Mailing Address - Phone:310-472-9736
Mailing Address - Fax:310-471-4384
Practice Address - Street 1:1601 N. BUNDY DR.
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90049-1522
Practice Address - Country:US
Practice Address - Phone:310-472-9736
Practice Address - Fax:310-471-4384
Is Sole Proprietor?:No
Enumeration Date:2009-01-22
Last Update Date:2009-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT19057106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist