Provider Demographics
NPI:1831307461
Name:FERMAN, SHARI T (MA, CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:SHARI
Middle Name:T
Last Name:FERMAN
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1628 N. BOSWORTH AVENUE
Mailing Address - Street 2:SUITE #2
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60642
Mailing Address - Country:US
Mailing Address - Phone:310-766-9812
Mailing Address - Fax:312-229-8828
Practice Address - Street 1:1628 N. BOSWORTH AVENUE
Practice Address - Street 2:SUITE #2
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60642
Practice Address - Country:US
Practice Address - Phone:310-766-9812
Practice Address - Fax:312-229-8828
Is Sole Proprietor?:No
Enumeration Date:2007-05-18
Last Update Date:2022-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL235Z00000X
IL146008462235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist