Provider Demographics
NPI:1881781789
Name:STATMAN, SHERYL H (PHD)
Entity type:Individual
Prefix:DR
First Name:SHERYL
Middle Name:H
Last Name:STATMAN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:16 SCHOOL ST
Mailing Address - Street 2:SUITE ONE
Mailing Address - City:RYE
Mailing Address - State:NY
Mailing Address - Zip Code:10580-2952
Mailing Address - Country:US
Mailing Address - Phone:914-967-1984
Mailing Address - Fax:914-967-7142
Practice Address - Street 1:16 SCHOOL ST
Practice Address - Street 2:SUITE ONE
Practice Address - City:RYE
Practice Address - State:NY
Practice Address - Zip Code:10580-2952
Practice Address - Country:US
Practice Address - Phone:914-967-1984
Practice Address - Fax:914-967-7142
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY010098103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYV60761Medicare ID - Type UnspecifiedPSYCHOLOGIST