Provider Demographics
NPI:1861747891
Name:SHERMAN, LAURIE E
Entity type:Individual
Prefix:MS
First Name:LAURIE
Middle Name:E
Last Name:SHERMAN
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 1:534 LEVERINGTON AVE
Mailing Address - Street 2:APT 1
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19128-2634
Mailing Address - Country:US
Mailing Address - Phone:570-241-2900
Mailing Address - Fax:
Practice Address - Street 1:534 LEVERINGTON AVE
Practice Address - Street 2:APT 1
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19128-2634
Practice Address - Country:US
Practice Address - Phone:570-241-2900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-16
Last Update Date:2012-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist