Provider Demographics
NPI:1710447784
Name:SHERMAN, ALEXANDRIA LYNN (MS, CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:ALEXANDRIA
Middle Name:LYNN
Last Name:SHERMAN
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22322 WESTWOOD RD
Mailing Address - Street 2:
Mailing Address - City:FAIRVIEW PARK
Mailing Address - State:OH
Mailing Address - Zip Code:44126-1053
Mailing Address - Country:US
Mailing Address - Phone:740-607-0486
Mailing Address - Fax:
Practice Address - Street 1:22322 WESTWOOD RD
Practice Address - Street 2:
Practice Address - City:FAIRVIEW PARK
Practice Address - State:OH
Practice Address - Zip Code:44126-1053
Practice Address - Country:US
Practice Address - Phone:740-607-0486
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-25
Last Update Date:2019-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP.13122235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist