Provider Demographics
NPI:1164624375
Name:PICARD, SHARON LEE (PHD)
Entity Type:Individual
Prefix:DR
First Name:SHARON
Middle Name:LEE
Last Name:PICARD
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 1:7827 GRISWOLD LOOP
Mailing Address - Street 2:
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34655-2735
Mailing Address - Country:US
Mailing Address - Phone:808-346-8101
Mailing Address - Fax:
Practice Address - Street 1:7827 GRISWOLD LOOP
Practice Address - Street 2:
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34655-2735
Practice Address - Country:US
Practice Address - Phone:808-346-8101
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-01
Last Update Date:2023-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI1409103TC0700X
WAPY60689616103TC0700X
OR3496103TC2200X
FL11429103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent