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NPI Code Detail

MEDICARE: SHARON LEE PHD

MEDICARE: SHARON LEE PHD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC1900XCounseling PsychologistB1-0001066DE

General Provider Information

NPI Number : 1922735489
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHARON LEE PHD
Provider Business Mailing Address
First Line : 4142 OGLETOWN STANTON RD # 428
Second Line :
City : NEWARK
State : DE
Zip : 19713-4169
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 500 CREEK VIEW RD STE 109
Second Line :
City : NEWARK
State : DE
Zip : 19711-8549
Country : US
Telephone Number : 302-553-8847
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/04/2022
Last Update Date : 08/04/2022

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