Doctor Name: | DEBRA LYNN SHERMAN |
NPI Number: | 1063430270 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPCC, CCDC I |
License Number: | E-0002354 |
Business Practice Address: | 338 Granville St Gahanna, OH - 432302990 |
Business Phone Number: | 6144757090 |
Business Fax Number: | 6144755208 |
Mailing Address: | 4292 Cleveland Ave, COLUMBUS |
State: | OH |
Postal Code: | 432241676 |
Phone Number: | 6144715381 |
Fax Number: | |
NPI Enumeration Date: | 07/17/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | E-0002354 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |