Provider Demographics
NPI:1447458179
Name:SHERR, ROSE LYNN (PHD)
Entity type:Individual
Prefix:DR
First Name:ROSE LYNN
Middle Name:
Last Name:SHERR
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:255 W 85TH ST
Mailing Address - Street 2:2AB
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10024-3260
Mailing Address - Country:US
Mailing Address - Phone:212-721-3537
Mailing Address - Fax:
Practice Address - Street 1:255 W 85TH ST
Practice Address - Street 2:SUITE 2AB
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024-3260
Practice Address - Country:US
Practice Address - Phone:212-877-0651
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-03
Last Update Date:2012-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY004303103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist