Provider Demographics
NPI:1093848558
Name:LORD, SHERMAN GEORGE (MS)
Entity Type:Individual
Prefix:
First Name:SHERMAN
Middle Name:GEORGE
Last Name:LORD
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:220 GREEN BANK WAY
Mailing Address - Street 2:
Mailing Address - City:HARLEYSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19438-3083
Mailing Address - Country:US
Mailing Address - Phone:215-855-7107
Mailing Address - Fax:215-855-9046
Practice Address - Street 1:220 GREEN BANK WAY
Practice Address - Street 2:
Practice Address - City:HARLEYSVILLE
Practice Address - State:PA
Practice Address - Zip Code:19438-3083
Practice Address - Country:US
Practice Address - Phone:215-855-7107
Practice Address - Fax:215-855-9046
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAT000308L231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist