Provider Demographics
NPI:1831216373
Name:SHERMAN, JUDITH ELLEN (MD)
Entity type:Individual
Prefix:DR
First Name:JUDITH
Middle Name:ELLEN
Last Name:SHERMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2357 MANNING AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90064-2207
Mailing Address - Country:US
Mailing Address - Phone:310-475-8205
Mailing Address - Fax:
Practice Address - Street 1:2226 E RIO VERDE DR
Practice Address - Street 2:
Practice Address - City:WEST COVINA
Practice Address - State:CA
Practice Address - Zip Code:91791-2067
Practice Address - Country:US
Practice Address - Phone:626-332-1367
Practice Address - Fax:626-332-0857
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-22
Last Update Date:2008-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA406092084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry