Healthcare Provider Details

I. General information

NPI: 1225243249
Provider Name (Legal Business Name): SHERRY DALE GOLDMAN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/12/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11404 OLD GEORGETOWN RD
ROCKVILLE MD
20852-2865
US

IV. Provider business mailing address

11404 OLD GEORGETOWN RD
ROCKVILLE MD
20852-2865
US

V. Phone/Fax

Practice location:
  • Phone: 301-881-0855
  • Fax: 301-881-0855
Mailing address:
  • Phone: 301-881-0855
  • Fax: 301-881-0855

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberD28863
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License NumberD28863
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: