Provider Demographics
NPI:1427280296
Name:SHERMAN, SHARON BARBARA (PHD)
Entity type:Individual
Prefix:DR
First Name:SHARON
Middle Name:BARBARA
Last Name:SHERMAN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1138 BALLENA BLVD STE D
Mailing Address - Street 2:
Mailing Address - City:ALAMEDA
Mailing Address - State:CA
Mailing Address - Zip Code:94501-3684
Mailing Address - Country:US
Mailing Address - Phone:510-814-9420
Mailing Address - Fax:510-649-5030
Practice Address - Street 1:1138 BALLENA BLVD STE D
Practice Address - Street 2:
Practice Address - City:ALAMEDA
Practice Address - State:CA
Practice Address - Zip Code:94501-3684
Practice Address - Country:US
Practice Address - Phone:510-814-9420
Practice Address - Fax:510-649-5030
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-12
Last Update Date:2009-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY15709103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist