Provider Demographics
NPI:1770016933
Name:SHEARMAN, KATHLEEN ERIN (LIMHP, LPCC)
Entity type:Individual
Prefix:
First Name:KATHLEEN
Middle Name:ERIN
Last Name:SHEARMAN
Suffix:
Gender:F
Credentials:LIMHP, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:155 ELM AVE
Mailing Address - Street 2:
Mailing Address - City:IMPERIAL BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:91932-1860
Mailing Address - Country:US
Mailing Address - Phone:402-990-9912
Mailing Address - Fax:
Practice Address - Street 1:155 ELM AVE
Practice Address - Street 2:
Practice Address - City:IMPERIAL BEACH
Practice Address - State:CA
Practice Address - Zip Code:91932-1860
Practice Address - Country:US
Practice Address - Phone:402-658-5809
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-05
Last Update Date:2025-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE11072101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health