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General NPI Number Information
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NPI Number | 1104998731
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Entity Type | Individual
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Provider Name | TANYA ERGH SHERMAN PHD
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Gender | Female
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Dates
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Enumeration Date | 11/15/2006
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Last Update Date | 08/25/2025
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Provider Practice Location Address
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Address Line | 40400 ANN ARBOR RD E STE 104A
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City | PLYMOUTH
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State | MI
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Zip | 48170-6611
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Country | US
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Telephone | 734-212-1840
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Fax | 734-809-3804
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Provider Business Mailing Address
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Address Line | 40400 ANN ARBOR RD E STE 104A
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City | PLYMOUTH
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State | MI
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Zip | 48170-6611
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Country | US
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Telephone | 734-212-1840
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Fax | 734-809-3804
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 6301012705
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | 6301012705
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License Number State | MI
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