Provider Demographics
NPI:1326185646
Name:SCLABASSI, SHARON JOYCE (PHD LCSW)
Entity Type:Individual
Prefix:DR
First Name:SHARON
Middle Name:JOYCE
Last Name:SCLABASSI
Suffix:
Gender:F
Credentials:PHD LCSW
Other - Prefix:MS
Other - First Name:SHARON
Other - Middle Name:JOYCE
Other - Last Name:HENDERSON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:275 HOSPITAL PKWY STE 370
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95119-1136
Mailing Address - Country:US
Mailing Address - Phone:408-972-3383
Mailing Address - Fax:
Practice Address - Street 1:275 HOSPITAL PARKWAY
Practice Address - Street 2:#370 KAISER PERMANENTE
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95119
Practice Address - Country:US
Practice Address - Phone:408-972-3366
Practice Address - Fax:408-972-3353
Is Sole Proprietor?:No
Enumeration Date:2007-01-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY16020103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist