Provider Demographics
NPI:1942350723
Name:SHERMAN, MALIA (PSYD)
Entity Type:Individual
Prefix:DR
First Name:MALIA
Middle Name:
Last Name:SHERMAN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:MALIA
Other - Middle Name:
Other - Last Name:MORTIMER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3950 N CHESTNUT AVE STE 105A
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93726-4729
Mailing Address - Country:US
Mailing Address - Phone:559-977-7285
Mailing Address - Fax:
Practice Address - Street 1:3950 N CHESTNUT AVE STE 105A
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93726-4729
Practice Address - Country:US
Practice Address - Phone:559-977-7285
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-12
Last Update Date:2023-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY25476103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist