Provider Demographics
NPI:1346318367
Name:SHERMAN, AMY D (BA)
Entity Type:Individual
Prefix:MS
First Name:AMY
Middle Name:D
Last Name:SHERMAN
Suffix:
Gender:F
Credentials:BA
Other - Prefix:MS
Other - First Name:AMY
Other - Middle Name:D
Other - Last Name:DAVIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2994 STATE ROUTE 28
Mailing Address - Street 2:
Mailing Address - City:SHOKAN
Mailing Address - State:NY
Mailing Address - Zip Code:12481-5004
Mailing Address - Country:US
Mailing Address - Phone:845-657-2119
Mailing Address - Fax:
Practice Address - Street 1:905 GREENE COUNTY OFFICE BLDG
Practice Address - Street 2:
Practice Address - City:CAIRO
Practice Address - State:NY
Practice Address - Zip Code:12413-2868
Practice Address - Country:US
Practice Address - Phone:518-622-9163
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-30
Last Update Date:2008-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health