Provider Demographics
NPI:1356656243
Name:EHRLICH-HERZFELD, SHERRY BETH (MA,CCC,SLP)
Entity type:Individual
Prefix:MS
First Name:SHERRY
Middle Name:BETH
Last Name:EHRLICH-HERZFELD
Suffix:
Gender:F
Credentials:MA,CCC,SLP
Other - Prefix:MRS
Other - First Name:SHERRY
Other - Middle Name:BETH
Other - Last Name:EHERZFELD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MA,CCC,SLP
Mailing Address - Street 1:118 MICHAEL RD
Mailing Address - Street 2:
Mailing Address - City:OAKDALE
Mailing Address - State:NY
Mailing Address - Zip Code:11769-1825
Mailing Address - Country:US
Mailing Address - Phone:631-563-5018
Mailing Address - Fax:
Practice Address - Street 1:118 MICHAEL RD
Practice Address - Street 2:
Practice Address - City:OAKDALE
Practice Address - State:NY
Practice Address - Zip Code:11769-1825
Practice Address - Country:US
Practice Address - Phone:631-379-7070
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-16
Last Update Date:2010-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005204-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYSPEECH LANGUAGE PATHOtherEARLY INTERVENTION