Provider Demographics
NPI:1962528133
Name:SHERMAN, WILLIAM A JR (PHD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:A
Last Name:SHERMAN
Suffix:JR
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44610 SMITHS NURSERY RD
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:MD
Mailing Address - Zip Code:20636-2902
Mailing Address - Country:US
Mailing Address - Phone:301-373-8011
Mailing Address - Fax:301-373-8833
Practice Address - Street 1:44610 SMITHS NURSERY RD
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:MD
Practice Address - Zip Code:20636-2902
Practice Address - Country:US
Practice Address - Phone:301-373-8011
Practice Address - Fax:301-373-8833
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD2159103G00000X, 103TM1800X, 103TR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist
Not Answered103TM1800XBehavioral Health & Social Service ProvidersPsychologistIntellectual & Developmental Disabilities
Not Answered103TR0400XBehavioral Health & Social Service ProvidersPsychologistRehabilitation