Hallie Sherman, M.S. CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · East Atlantic Beach, NY
NPI 1063709145 · NPPES record last updated Jul 8, 2011
Key facts
- NPI
- 1063709145
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 018469 (NY)
- Practice address
- 56 Troy Ave
FL2
East Atlantic Beach, NY 11561-1044 - Phone
- (516) 967-5229
- NPI assigned
- Jul 8, 2011
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 018469 | NY | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 018469 | NY | Yes |
Addresses
Primary practice location
56 Troy Ave
FL2
East Atlantic Beach, NY 11561-1044
Mailing address
56 Troy Ave
FL2
East Atlantic Beach, NY 11561-1044
Phone (516) 967-5229
NPI Registry JSON
{
"created_epoch": "1310083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1310083200000",
"number": "1063709145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "56 TROY AVE",
"address_2": "FL2",
"city": "EAST ATLANTIC BEACH",
"state": "NY",
"postal_code": "115611044",
"telephone_number": "516-967-5229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "56 TROY AVE",
"address_2": "FL2",
"city": "EAST ATLANTIC BEACH",
"state": "NY",
"postal_code": "115611044",
"telephone_number": "516-967-5229"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHERMAN",
"first_name": "HALLIE",
"credential": "M.S. CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-07-08",
"last_updated": "2011-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "018469",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Atlantic Beach, NY
- Elaine M Fenick
- Valerie Gorman
- Parinda Inc
- Amora Rachelle
- Kim Rugolsky
- Eileen Rita Sino
- Danielle Smith
- Surfside Chemists
- The Gift of Gab Speech Therapy PC
- Allison Tocco
All providers in East Atlantic Beach, NY · Speech-Language Pathologist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.