Individual
SHELDON LYLE HERRING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
100 AUGUSTA ST, GREENVILLE, SC 29601-3504
(864) 455-2600
(864) 455-2621
Mailing address
1 INDEPENDENCE PT, SUITE 212, GREENVILLE, SC 29615-4545
(864) 454-0888
(864) 454-1130
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
428
SC
103T00000X
Psychologist
428
SC
103TB0200X
Cognitive & Behavioral Psychologist
428
SC
103TP0814X
Psychoanalysis Psychologist
428
SC
103TR0400X
Rehabilitation Psychologist
428
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
576007863
TAX ID
SC
05
—
PS0335
—
SC
Enumeration date
01/18/2007
Last updated
05/09/2014
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