Provider Demographics
NPI:1841749488
Name:SHERMAN, LINDA FAUN (PSYD, MFT, RD)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:FAUN
Last Name:SHERMAN
Suffix:
Gender:F
Credentials:PSYD, MFT, RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4924 BALBOA BLVD # 133
Mailing Address - Street 2:
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91316-3402
Mailing Address - Country:US
Mailing Address - Phone:310-871-4733
Mailing Address - Fax:
Practice Address - Street 1:490 POST ST STE 939
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94102-1414
Practice Address - Country:US
Practice Address - Phone:415-409-1881
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-23
Last Update Date:2016-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT28094101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health