MEDICARE: MS. LAURIE E 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

General Provider Information

NPI Number	:	1861747891
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LAURIE E SHERMAN

Provider Business Mailing Address
First Line	:	534 LEVERINGTON AVE
Second Line	:	APT 1
City	:	PHILADELPHIA
State	:	PA
Zip	:	19128-2634
Country	:	US
Telephone Number	:	570-241-2900
Fax Number	:

Provider Business Practice Location Address
First Line	:	534 LEVERINGTON AVE
Second Line	:	APT 1
City	:	PHILADELPHIA
State	:	PA
Zip	:	19128-2634
Country	:	US
Telephone Number	:	570-241-2900
Fax Number	:

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

Provider Enumeration Date	:	07/16/2012
Last Update Date	:	07/16/2012

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Directions to “ MS. LAURIE E SHERMAN ” Practice Location

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