Provider Demographics
NPI:1376582312
Name:SHERMAN HAID, CAROL (MA, LCPC, BCPC)
Entity Type:Individual
Prefix:MS
First Name:CAROL
Middle Name:
Last Name:SHERMAN HAID
Suffix:
Gender:F
Credentials:MA, LCPC, BCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:833 PENNSYLVANIA AVE
Mailing Address - Street 2:SUITE 103
Mailing Address - City:SHEBOYGAN
Mailing Address - State:WI
Mailing Address - Zip Code:53081-4452
Mailing Address - Country:US
Mailing Address - Phone:920-482-1250
Mailing Address - Fax:920-693-2003
Practice Address - Street 1:833 PENNSYLVANIA AVE
Practice Address - Street 2:SUITE 103
Practice Address - City:SHEBOYGAN
Practice Address - State:WI
Practice Address - Zip Code:53081-4452
Practice Address - Country:US
Practice Address - Phone:920-482-1250
Practice Address - Fax:920-693-2003
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-05
Last Update Date:2011-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI3472-125101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional