Provider Demographics
NPI:1689097388
Name:HERD, SYLVIA
Entity type:Individual
Prefix:
First Name:SYLVIA
Middle Name:
Last Name:HERD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1843 STANWOOD RD
Mailing Address - Street 2:SPECIAL EDUCATION DEPARTMENT
Mailing Address - City:EAST CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44112-2901
Mailing Address - Country:US
Mailing Address - Phone:216-268-6349
Mailing Address - Fax:216-268-6676
Practice Address - Street 1:1843 STANWOOD RD
Practice Address - Street 2:SPECIAL EDUCATION DEPARTMENT
Practice Address - City:EAST CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44112-2901
Practice Address - Country:US
Practice Address - Phone:216-268-6349
Practice Address - Fax:216-268-6676
Is Sole Proprietor?:No
Enumeration Date:2014-01-31
Last Update Date:2014-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP525103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool