Healthcare Provider Details

I. General information

NPI: 1497123525
Provider Name (Legal Business Name): SHEERA LERMAN PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SHEERA LERMAN ZOHAR PHD

II. Dates (important events)

Enumeration Date: 09/06/2015
Last Update Date: 08/27/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5510 NATHAN SHOCK DR
BALTIMORE MD
21224-6823
US

IV. Provider business mailing address

9910 FRANKLIN SQUARE DRIVE SUITE 2110
BALTIMORE MD
21236-4902
US

V. Phone/Fax

Practice location:
  • Phone: 410-550-7985
  • Fax:
Mailing address:
  • Phone: 410-933-6423
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TR0400X
TaxonomyRehabilitation Psychologist
License Number06095
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: