Provider Demographics
NPI:1003936543
Name:SHERMAN, JULIA ELEANOR (MFTI)
Entity Type:Individual
Prefix:MS
First Name:JULIA
Middle Name:ELEANOR
Last Name:SHERMAN
Suffix:
Gender:F
Credentials:MFTI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:435 EDGEMAR AVE
Mailing Address - Street 2:
Mailing Address - City:PACIFICA
Mailing Address - State:CA
Mailing Address - Zip Code:94044-1961
Mailing Address - Country:US
Mailing Address - Phone:650-355-3900
Mailing Address - Fax:650-355-2850
Practice Address - Street 1:435 EDGEMAR AVE
Practice Address - Street 2:
Practice Address - City:PACIFICA
Practice Address - State:CA
Practice Address - Zip Code:94044-1961
Practice Address - Country:US
Practice Address - Phone:650-355-3900
Practice Address - Fax:650-355-2850
Is Sole Proprietor?:No
Enumeration Date:2007-03-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAIMF 46512106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist