Female

Sherry D. Dekeyser M.D.

Psychiatry Physician in Ponte Vedra, FL(View on Map)

Full Name

Sherry Dianne Dekeyser M.D.

NPI Number

1518913540

NPI Type

Individual Provider

Gender

Female

Enumeration Date

05/25/2006

Specialties

(Taxonomies)

Code

2084P0800X

Primary Taxonomy

Yes

Licenses

State

Arizona
Florida
Iowa
South Dakota

License Number

50674
ME162610
36746
10690

Contact
Information

Purpose

Mailing
Location

Address

3300 N TRIUMPH BLVD STE 500
203 FORT WADE RD UNIT 260

City

Lehi
Ponte Vedra

State

UT
FL

Postal Code

84043-6475
32081-5159

Country

US
US

Telephone Number

(801) 821-2333
(904) 902-4408

Identifiers

Identifier

0495341
20589

Identifier State

IA
IA

Identifier Issuer

Unknown
WELLMARK BLUE CROSS BLUE

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 04/23/2024

Provider Address

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