Provider Demographics
NPI:1467026377
Name:LUNGARINI, SHARRI L
Entity Type:Individual
Prefix:
First Name:SHARRI
Middle Name:L
Last Name:LUNGARINI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:SHARRI
Other - Middle Name:L
Other - Last Name:HARPOOL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2 BERKSHIRE RD
Mailing Address - Street 2:
Mailing Address - City:ANSONIA
Mailing Address - State:CT
Mailing Address - Zip Code:06401-2445
Mailing Address - Country:US
Mailing Address - Phone:203-449-7249
Mailing Address - Fax:
Practice Address - Street 1:2300 MAIN ST
Practice Address - Street 2:
Practice Address - City:GLASTONBURY
Practice Address - State:CT
Practice Address - Zip Code:06033-2218
Practice Address - Country:US
Practice Address - Phone:860-430-1762
Practice Address - Fax:860-430-1767
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-14
Last Update Date:2021-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty