MEDICARE: MRS. KATHLEEN SHERMAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	SP.1314	OH

General Provider Information

NPI Number	:	1700281698
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KATHLEEN SHERMAN

Provider Business Mailing Address
First Line	:	1625 CEDAR AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45224-2824
Country	:	US
Telephone Number	:	513-363-1658
Fax Number	:

Provider Business Practice Location Address
First Line	:	1625 CEDAR AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45224-2824
Country	:	US
Telephone Number	:	513-363-1658
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/04/2014
Last Update Date	:	11/04/2014

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Directions to “ MRS. KATHLEEN SHERMAN ” Practice Location

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