Provider Demographics
NPI:1326429879
Name:THOMAS, SHARON RENEE (PHD)
Entity Type:Individual
Prefix:DR
First Name:SHARON
Middle Name:RENEE
Last Name:THOMAS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:SHARON
Other - Middle Name:RENEE
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 295
Mailing Address - Street 2:
Mailing Address - City:OLNEY
Mailing Address - State:MD
Mailing Address - Zip Code:20830-0295
Mailing Address - Country:US
Mailing Address - Phone:301-500-0873
Mailing Address - Fax:855-531-0061
Practice Address - Street 1:18227 FOX CHASE CIR
Practice Address - Street 2:
Practice Address - City:OLNEY
Practice Address - State:MD
Practice Address - Zip Code:20832-3003
Practice Address - Country:US
Practice Address - Phone:301-500-0873
Practice Address - Fax:855-531-0061
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-10
Last Update Date:2020-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810006285103TC0700X
MD05885103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical