Provider Demographics
NPI:1861099210
Name:DAVIDSON, SHERRI ANN (MA)
Entity type:Individual
Prefix:
First Name:SHERRI
Middle Name:ANN
Last Name:DAVIDSON
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:SHERRI
Other - Middle Name:ANN
Other - Last Name:DAVIDSON-OWENS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:1611 116TH AVE NE STE 120
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98004-3064
Mailing Address - Country:US
Mailing Address - Phone:206-657-7599
Mailing Address - Fax:
Practice Address - Street 1:1611 116TH AVE NE STE 120
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98004-3064
Practice Address - Country:US
Practice Address - Phone:206-657-7599
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-07
Last Update Date:2022-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMG61238310106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist