Healthcare Provider Details

I. General information

NPI: 1962528133
Provider Name (Legal Business Name): WILLIAM A SHERMAN JR. PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/21/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

44610 SMITHS NURSERY RD
HOLLYWOOD MD
20636-2902
US

IV. Provider business mailing address

44610 SMITHS NURSERY RD
HOLLYWOOD MD
20636-2902
US

V. Phone/Fax

Practice location:
  • Phone: 301-373-8011
  • Fax: 301-373-8833
Mailing address:
  • Phone: 301-373-8011
  • Fax: 301-373-8833

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number2159
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code103TM1800X
TaxonomyIntellectual & Developmental Disabilities Psychologist
License Number2159
License Number StateMD
# 3
Primary TaxonomyN
Taxonomy Code103TR0400X
TaxonomyRehabilitation Psychologist
License Number2159
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: