Provider Demographics
NPI:1174238976
Name:KERR, SYDNI TONI-ANN
Entity type:Individual
Prefix:
First Name:SYDNI
Middle Name:TONI-ANN
Last Name:KERR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 CEDAR ST
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:MA
Mailing Address - Zip Code:02149-1527
Mailing Address - Country:US
Mailing Address - Phone:857-261-4517
Mailing Address - Fax:
Practice Address - Street 1:18 CEDAR ST
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:MA
Practice Address - Zip Code:02149-1527
Practice Address - Country:US
Practice Address - Phone:857-261-4517
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-17
Last Update Date:2023-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician