Sheryl Kelly Backeberg, Ph.D., LP
Psychologist in Canton, MI. Individual provider (NPI-1).
NPI number1275100331
StatusActive
Last updated in NPPESMay 19, 2026
Details
- NPI
- 1275100331
- Entity type
- Individual (NPI-1)
- Name
- Sheryl Kelly Backeberg
- Credential
- Ph.D., LP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 8, 2021
- Certification date
- May 19, 2026
- Last updated
- May 19, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | 6301018435 | MI | Yes |
| 103T00000X | Psychologist | 071.022104 | IL |
Practice location
46036 Michigan Ave # 310Canton, MI 48188-2304
Phone 734-336-0263
Mailing address
46036 Michigan Ave # 310Canton, MI 48188-2304
Phone 734-335-0263
Other practice locations
120 E Liberty St Ste 200
Ann Arbor, MI 48104-2156
Ann Arbor, MI 48104-2156
Phone 734-335-0263
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