Provider Demographics
NPI:1144548371
Name:BURNETTE, SHERRY (MSW, MPH, PHD)
Entity type:Individual
Prefix:DR
First Name:SHERRY
Middle Name:
Last Name:BURNETTE
Suffix:
Gender:F
Credentials:MSW, MPH, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3117 WASHINGTON PIKE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:BRIDGEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15017-1434
Mailing Address - Country:US
Mailing Address - Phone:412-221-1091
Mailing Address - Fax:
Practice Address - Street 1:3117 WASHINGTON PIKE
Practice Address - Street 2:SUITE 200
Practice Address - City:BRIDGEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15017-1434
Practice Address - Country:US
Practice Address - Phone:412-221-1091
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-05-12
Last Update Date:2010-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW008067L1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical