Provider Demographics
NPI:1992202931
Name:FUHRMAN-SHERMAN, ALEXA C
Entity Type:Individual
Prefix:
First Name:ALEXA
Middle Name:C
Last Name:FUHRMAN-SHERMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1019 N MACKINAW RD
Mailing Address - Street 2:
Mailing Address - City:LINWOOD
Mailing Address - State:MI
Mailing Address - Zip Code:48634-9542
Mailing Address - Country:US
Mailing Address - Phone:989-488-7441
Mailing Address - Fax:
Practice Address - Street 1:1019 N MACKINAW RD
Practice Address - Street 2:
Practice Address - City:LINWOOD
Practice Address - State:MI
Practice Address - Zip Code:48634-9542
Practice Address - Country:US
Practice Address - Phone:989-488-7441
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-06
Last Update Date:2018-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician