Healthcare Provider Details

I. General information

NPI: 1447616339
Provider Name (Legal Business Name): SHARON PICARD PHD, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/07/2016
Last Update Date: 09/26/2023
Certification Date: 09/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7827 GRISWOLD LOOP
NEW PORT RICHEY FL
34655-2735
US

IV. Provider business mailing address

7827 GRISWOLD LOOP
NEW PORT RICHEY FL
34655-2735
US

V. Phone/Fax

Practice location:
  • Phone: 808-346-8101
  • Fax:
Mailing address:
  • Phone: 808-346-8101
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number1409
License Number StateHI
# 2
Primary TaxonomyY
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License NumberPY60689616
License Number StateWA

VIII. Authorized Official

Name: SHARON LEE PICARD
Title or Position: OWNER
Credential: PHD
Phone: 808-346-8101