Doctor Name: | MS. SHARON M FORNACIARI |
NPI Number: | 1003907403 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, LPC |
License Number: | 000552 |
Business Practice Address: | 38 Hirsch Road Stamford, CT - 06905 |
Business Phone Number: | 2039680451 |
Business Fax Number: | 2039611223 |
Mailing Address: | 38 Hirsch Road, STAMFORD |
State: | CT |
Postal Code: | 06905 |
Phone Number: | 2039680451 |
Fax Number: | 2039611223 |
NPI Enumeration Date: | 09/28/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 000552 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |