Provider Demographics
NPI:1619519758
Name:SHERBIN, KATHERINE B
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:B
Last Name:SHERBIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1622 HOLLAND ST
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:MI
Mailing Address - Zip Code:48009-6854
Mailing Address - Country:US
Mailing Address - Phone:248-794-3747
Mailing Address - Fax:
Practice Address - Street 1:1 W SUPERIOR ST APT 3415
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60654-8838
Practice Address - Country:US
Practice Address - Phone:248-794-3747
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-10
Last Update Date:2022-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist