Provider Demographics
NPI:1699983437
Name:SHERMAN, CHARLES OSTRANDER JR (PSYCHOTHERAPIST)
Entity type:Individual
Prefix:
First Name:CHARLES
Middle Name:OSTRANDER
Last Name:SHERMAN
Suffix:JR
Gender:M
Credentials:PSYCHOTHERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 RIVERPOINTE RD
Mailing Address - Street 2:
Mailing Address - City:HASTINGS ON HUDSON
Mailing Address - State:NY
Mailing Address - Zip Code:10706-3812
Mailing Address - Country:US
Mailing Address - Phone:914-231-6801
Mailing Address - Fax:914-479-0381
Practice Address - Street 1:10 RIVERPOINE ROAD
Practice Address - Street 2:
Practice Address - City:HASTINGS ON HUDSON
Practice Address - State:NY
Practice Address - Zip Code:10706-4111
Practice Address - Country:US
Practice Address - Phone:914-231-6801
Practice Address - Fax:914-479-0381
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-17
Last Update Date:2013-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYNYSMFT000554106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist