Doctor Name: | ROBERT WILLIAM SHARKEY |
NPI Number: | 1912009895 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PH.D. |
License Number: | 6301007763 |
Business Practice Address: | 56730 Calumet Ave Ste F Calumet, MI - 499132968 |
Business Phone Number: | 9063376839 |
Business Fax Number: | 9063370944 |
Mailing Address: | 56730 Calumet Ave Ste F, CALUMET |
State: | MI |
Postal Code: | 499132968 |
Phone Number: | 9063376839 |
Fax Number: | 9063370944 |
NPI Enumeration Date: | 09/02/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 6301007763 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |