Provider Demographics
NPI:1760482988
Name:SHERMAN, LILLIAN LYNNE (MA, MFT)
Entity Type:Individual
Prefix:MS
First Name:LILLIAN
Middle Name:LYNNE
Last Name:SHERMAN
Suffix:
Gender:F
Credentials:MA, MFT
Other - Prefix:MS
Other - First Name:LYNNE
Other - Middle Name:
Other - Last Name:SHERMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA MFT
Mailing Address - Street 1:5266 HOLLISTER AVE STE 235
Mailing Address - Street 2:SUITE #235
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93111-3046
Mailing Address - Country:US
Mailing Address - Phone:805-967-5266
Mailing Address - Fax:866-590-2181
Practice Address - Street 1:5266 HOLLISTER AVE STE 235
Practice Address - Street 2:SUITE #235
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93111-3046
Practice Address - Country:US
Practice Address - Phone:805-967-5266
Practice Address - Fax:866-590-2181
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-29
Last Update Date:2009-11-16
Deactivation Date:2006-03-22
Deactivation Code:
Reactivation Date:2006-03-30
Provider Licenses
StateLicense IDTaxonomies
CAMFT 22475106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist