Individual
AMY JAY SHERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LMFT
Contact information
Practice address
4 SPARROW AVE, CHESTNUT RIDGE, NY 10977-6312
(845) 641-8843
Mailing address
4 SPARROW AVE, CHESTNUT RIDGE, NY 10977-6312
(845) 641-8843
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
000533-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000533-1
MARRIAGE & FAMILY THERAPIST LICENSE #
NY
01
—
20-5990303
TAX ID#
NY
Enumeration date
02/13/2013
Last updated
02/13/2013
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