Provider Demographics
NPI:1477687127
Name:SHEARMAN, ANNETTE (MSCCCSLP)
Entity Type:Individual
Prefix:
First Name:ANNETTE
Middle Name:
Last Name:SHEARMAN
Suffix:
Gender:F
Credentials:MSCCCSLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:232 WALNUT ST
Mailing Address - Street 2:
Mailing Address - City:JOHNSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15901-2913
Mailing Address - Country:US
Mailing Address - Phone:814-535-5508
Mailing Address - Fax:814-536-4943
Practice Address - Street 1:232 WALNUT ST
Practice Address - Street 2:
Practice Address - City:JOHNSTOWN
Practice Address - State:PA
Practice Address - Zip Code:15901-2913
Practice Address - Country:US
Practice Address - Phone:814-535-5508
Practice Address - Fax:814-536-4943
Is Sole Proprietor?:No
Enumeration Date:2007-03-15
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL002055L235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA693165OtherHIGHMARK
PA0017611250006Medicaid
PA90892OtherUNISON