Provider Demographics
NPI:1376161364
Name:SHERMAN, JULIE FISHER (MED/EDS)
Entity Type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:FISHER
Last Name:SHERMAN
Suffix:
Gender:F
Credentials:MED/EDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19157 S GARDENIA AVE
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:FL
Mailing Address - Zip Code:33332-4400
Mailing Address - Country:US
Mailing Address - Phone:305-491-0928
Mailing Address - Fax:
Practice Address - Street 1:19157 S GARDENIA AVE
Practice Address - Street 2:
Practice Address - City:WESTON
Practice Address - State:FL
Practice Address - Zip Code:33332-4400
Practice Address - Country:US
Practice Address - Phone:305-491-0928
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-07
Last Update Date:2020-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL8420101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health