Provider Demographics
NPI:1811624406
Name:SHERMAN, LOLA LINDA
Entity type:Individual
Prefix:MS
First Name:LOLA
Middle Name:LINDA
Last Name:SHERMAN
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 OTAY LAKES RD
Mailing Address - Street 2:
Mailing Address - City:CHULA VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:91910-7297
Mailing Address - Country:US
Mailing Address - Phone:619-421-6700
Mailing Address - Fax:
Practice Address - Street 1:900 OTAY LAKES RD
Practice Address - Street 2:
Practice Address - City:CHULA VISTA
Practice Address - State:CA
Practice Address - Zip Code:91910-7297
Practice Address - Country:US
Practice Address - Phone:619-421-6700
Practice Address - Fax:619-294-9405
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-03
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner