Provider Demographics
NPI:1952655847
Name:SHERMAN, JESSICA (MS, CFY/SLP)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:
Last Name:SHERMAN
Suffix:
Gender:F
Credentials:MS, CFY/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6140 HIGHWAY 6
Mailing Address - Street 2:#90
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-3802
Mailing Address - Country:US
Mailing Address - Phone:281-403-5437
Mailing Address - Fax:888-876-2741
Practice Address - Street 1:3424 FM 1092 RD
Practice Address - Street 2:SUITE 200
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-2285
Practice Address - Country:US
Practice Address - Phone:281-403-5437
Practice Address - Fax:888-876-2741
Is Sole Proprietor?:No
Enumeration Date:2012-10-31
Last Update Date:2012-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX108424235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX108424OtherSTATE BOARD