Provider Demographics
NPI:1154445344
Name:KAMM, SHARON R (PSYD)
Entity Type:Individual
Prefix:DR
First Name:SHARON
Middle Name:R
Last Name:KAMM
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 ABIS PL
Mailing Address - Street 2:
Mailing Address - City:WEST LONG BRANCH
Mailing Address - State:NJ
Mailing Address - Zip Code:07764-1105
Mailing Address - Country:US
Mailing Address - Phone:732-870-2401
Mailing Address - Fax:
Practice Address - Street 1:257 MONMOUTH RD STE 5A
Practice Address - Street 2:
Practice Address - City:OAKHURST
Practice Address - State:NJ
Practice Address - Zip Code:07755-1501
Practice Address - Country:US
Practice Address - Phone:732-517-0596
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJSIO3117103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist