Healthcare Provider Details

I. General information

NPI: 1134315195
Provider Name (Legal Business Name): SHARON MARIE PARKINSON PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SHARON MARIE RICHARDSON

II. Dates (important events)

Enumeration Date: 09/24/2007
Last Update Date: 03/13/2025
Certification Date: 03/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2590 GOLDEN GATE PKWY STE 108
NAPLES FL
34105-3204
US

IV. Provider business mailing address

1044 S LAKE DR
GIBSONIA PA
15044-6113
US

V. Phone/Fax

Practice location:
  • Phone: 239-370-1188
  • Fax:
Mailing address:
  • Phone: 239-370-1188
  • Fax: 855-816-3442

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License NumberPY7793
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPS016442
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number3447
License Number StateNC
# 4
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPY7793
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: