Provider Demographics
NPI:1427392166
Name:SHERMAN, PATRICK DUNCAN (LPCI)
Entity Type:Individual
Prefix:
First Name:PATRICK
Middle Name:DUNCAN
Last Name:SHERMAN
Suffix:
Gender:M
Credentials:LPCI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:913 MELROSE DR
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75080-4004
Mailing Address - Country:US
Mailing Address - Phone:214-364-4874
Mailing Address - Fax:
Practice Address - Street 1:5309 VILLAGE CREEK DR STE 100
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-4842
Practice Address - Country:US
Practice Address - Phone:214-364-4874
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-19
Last Update Date:2012-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX66739101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional