Provider Demographics
NPI:1407306657
Name:SHARON CLAYMAN PSYD, LLC
Entity Type:Organization
Organization Name:SHARON CLAYMAN PSYD, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:
Authorized Official - Last Name:CLAYMAN
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:203-314-4355
Mailing Address - Street 1:290 HIGHLAND AVE
Mailing Address - Street 2:SUITE 2
Mailing Address - City:CHESHIRE
Mailing Address - State:CT
Mailing Address - Zip Code:06410-2564
Mailing Address - Country:US
Mailing Address - Phone:203-314-4355
Mailing Address - Fax:203-250-1800
Practice Address - Street 1:290 HIGHLAND AVE
Practice Address - Street 2:SUITE 2
Practice Address - City:CHESHIRE
Practice Address - State:CT
Practice Address - Zip Code:06410-2564
Practice Address - Country:US
Practice Address - Phone:203-314-4355
Practice Address - Fax:203-250-1800
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-12
Last Update Date:2016-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT002725103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty