Healthcare Provider Details

I. General information

NPI: 1073380036
Provider Name (Legal Business Name): SHARRON SPRIGGS PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/08/2023
Last Update Date: 12/08/2023
Certification Date: 12/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

963 CARNEGIE AVE
PLAINFIELD NJ
07060-2522
US

IV. Provider business mailing address

963 CARNEGIE AVE
PLAINFIELD NJ
07060-2522
US

V. Phone/Fax

Practice location:
  • Phone: 202-413-1626
  • Fax:
Mailing address:
  • Phone: 202-413-1626
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number35S100732200
License Number StateNJ

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: