Provider Demographics
NPI:1306528492
Name:SHERMAN, ASHLEY N (MS, CF-SLP)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:N
Last Name:SHERMAN
Suffix:
Gender:F
Credentials:MS, CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1509 STATE ST
Mailing Address - Street 2:
Mailing Address - City:LA PORTE
Mailing Address - State:IN
Mailing Address - Zip Code:46350-3115
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:18853 US HIGHWAY 12 STE 3
Practice Address - Street 2:
Practice Address - City:NEW BUFFALO
Practice Address - State:MI
Practice Address - Zip Code:49117-8100
Practice Address - Country:US
Practice Address - Phone:269-235-9821
Practice Address - Fax:269-359-3735
Is Sole Proprietor?:No
Enumeration Date:2023-08-07
Last Update Date:2025-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN14478169235Z00000X
MI7101009244235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist