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General NPI Number Information
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NPI Number | 1205171964
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Entity Type | Individual
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Provider Name | BRIAN SHERMAN PH.D.
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Gender | Male
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Dates
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Enumeration Date | 12/06/2012
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Last Update Date | 09/03/2025
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Provider Practice Location Address
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Address Line | 1 CARRIAGE LANE BUILDING B, SUITE 102
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City | CHARLESTON
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State | SC
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Zip | 29407
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Country | US
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Telephone | 917-399-9494
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Fax |
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Provider Business Mailing Address
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Address Line | 1821 CLIFTON RD NE STE 1200
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City | ATLANTA
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State | GA
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Zip | 30329-4021
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Country | US
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Telephone | 917-399-9494
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Fax |
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 1402
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY900249
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 020238
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License Number State | NY
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