Provider Demographics
NPI:1437374691
Name:SPIEGEL, SHARON BARON (PHD)
Entity Type:Individual
Prefix:DR
First Name:SHARON
Middle Name:BARON
Last Name:SPIEGEL
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 1:8717 HEMPSTEAD AVE
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20817-6713
Mailing Address - Country:US
Mailing Address - Phone:301-897-5115
Mailing Address - Fax:301-897-8664
Practice Address - Street 1:7925 GLENBROOK RD # B
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-2471
Practice Address - Country:US
Practice Address - Phone:301-897-5115
Practice Address - Fax:301-897-8664
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD1105103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical