Provider Demographics
NPI:1174858807
Name:RICHTMAN, SHARON (MS, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:SHARON
Middle Name:
Last Name:RICHTMAN
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:74 HARTWELL PL
Mailing Address - Street 2:
Mailing Address - City:WOODMERE
Mailing Address - State:NY
Mailing Address - Zip Code:11598-1234
Mailing Address - Country:US
Mailing Address - Phone:516-374-4755
Mailing Address - Fax:516-374-4755
Practice Address - Street 1:74 HARTWELL PL
Practice Address - Street 2:
Practice Address - City:WOODMERE
Practice Address - State:NY
Practice Address - Zip Code:11598-1234
Practice Address - Country:US
Practice Address - Phone:516-374-4755
Practice Address - Fax:516-374-4755
Is Sole Proprietor?:No
Enumeration Date:2009-10-14
Last Update Date:2009-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY014473-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist