Doctor Name: | SHERMAN ROBERT MARTIN |
NPI Number: | 1104954817 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.S., LMHC |
License Number: | LH00009310 |
Business Practice Address: | 1000 E Jewett Blvd Suite 203 White Salmon, WA - 986721248 |
Business Phone Number: | 5092811948 |
Business Fax Number: | 5094931241 |
Mailing Address: | Po Box 1248, 1000 E Jewett Blvd Suite 203 WHITE SALMON |
State: | WA |
Postal Code: | 986721248 |
Phone Number: | 5092811948 |
Fax Number: | 5094931241 |
NPI Enumeration Date: | 03/02/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | LH00009310 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |