Provider Demographics
NPI:1821152091
Name:SHERMAN, KAREN ELLEN (PHD)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:ELLEN
Last Name:SHERMAN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 MIDWOOD CROSS
Mailing Address - Street 2:
Mailing Address - City:ROSLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11576-2414
Mailing Address - Country:US
Mailing Address - Phone:516-801-2522
Mailing Address - Fax:516-741-5301
Practice Address - Street 1:200 OLD COUNTRY RD
Practice Address - Street 2:SUITE 366
Practice Address - City:MINEOLA
Practice Address - State:NY
Practice Address - Zip Code:11501-4235
Practice Address - Country:US
Practice Address - Phone:516-801-2522
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009405-1103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical