Provider Demographics
NPI:1003051137
Name:SUNG, SHARON COHAN (PHD)
Entity Type:Individual
Prefix:DR
First Name:SHARON
Middle Name:COHAN
Last Name:SUNG
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:185 CAMBRIDGE ST
Mailing Address - Street 2:SUITE 2200, 2ND FLOOR
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02114-2790
Mailing Address - Country:US
Mailing Address - Phone:617-724-0666
Mailing Address - Fax:617-643-3080
Practice Address - Street 1:185 CAMBRIDGE ST
Practice Address - Street 2:SUITE 2200, 2ND FLOOR
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-2790
Practice Address - Country:US
Practice Address - Phone:617-724-0666
Practice Address - Fax:617-643-3080
Is Sole Proprietor?:No
Enumeration Date:2008-12-03
Last Update Date:2008-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY017767103TC0700X
MA8944103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical