Doctor Name: | SHARON RUTH SHRENSEL |
NPI Number: | 1053344747 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PSYD |
License Number: | 1421 |
Business Practice Address: | 467 Springfield Ave Summit, NJ - 07901 |
Business Phone Number: | 9082733971 |
Business Fax Number: | 9082733971 |
Mailing Address: | 467 Springfield Ave, SUMMIT |
State: | NJ |
Postal Code: | 07901 |
Phone Number: | 9082733971 |
Fax Number: | 9082735627 |
NPI Enumeration Date: | 07/08/2006 |
NPI Last Update Date: | 08/08/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 1421 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |