Provider Demographics
NPI:1386496404
Name:SHERMAN, NOAH THOMAS (PLMHP)
Entity type:Individual
Prefix:MR
First Name:NOAH
Middle Name:THOMAS
Last Name:SHERMAN
Suffix:
Gender:M
Credentials:PLMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5656 S 96TH CT APT 8
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68127-3385
Mailing Address - Country:US
Mailing Address - Phone:402-862-5926
Mailing Address - Fax:
Practice Address - Street 1:8424 W CENTER RD STE 214
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68124-3138
Practice Address - Country:US
Practice Address - Phone:402-862-5926
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-02
Last Update Date:2024-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health