Individual
REBECCA SHERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCLS, CPST
Contact information
Practice address
404 BURNS ST, FOREST HILLS, NY 11375-6135
(516) 619-6588
Mailing address
63 CEDAR DR W, PLAINVIEW, NY 11803-2943
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
29649
NY
Other
Enumeration date
03/02/2021
Last updated
03/02/2021
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