Provider Demographics
NPI:1063709145
Name:SHERMAN, HALLIE (MS CCC-SLP)
Entity type:Individual
Prefix:
First Name:HALLIE
Middle Name:
Last Name:SHERMAN
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:56 TROY AVE
Mailing Address - Street 2:FL2
Mailing Address - City:EAST ATLANTIC BEACH
Mailing Address - State:NY
Mailing Address - Zip Code:11561-1044
Mailing Address - Country:US
Mailing Address - Phone:516-967-5229
Mailing Address - Fax:
Practice Address - Street 1:56 TROY AVE
Practice Address - Street 2:FL2
Practice Address - City:EAST ATLANTIC BEACH
Practice Address - State:NY
Practice Address - Zip Code:11561-1044
Practice Address - Country:US
Practice Address - Phone:516-967-5229
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-08
Last Update Date:2011-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY018469235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist