Provider Demographics
NPI:1447616339
Name:SHARON PICARD PHD, LLC
Entity Type:Organization
Organization Name:SHARON PICARD PHD, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:PICARD
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:808-346-8101
Mailing Address - Street 1:7827 GRISWOLD LOOP
Mailing Address - Street 2:
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34655-2735
Mailing Address - Country:US
Mailing Address - Phone:808-346-8101
Mailing Address - Fax:
Practice Address - Street 1:7827 GRISWOLD LOOP
Practice Address - Street 2:
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34655-2735
Practice Address - Country:US
Practice Address - Phone:808-346-8101
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-07
Last Update Date:2023-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPY60689616103TC2200X
HI1409251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & AdolescentGroup - Single Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Single Specialty