Provider Demographics
NPI:1467042796
Name:EHRLICH, SHARON LISA
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:LISA
Last Name:EHRLICH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7919 PICKLEWOOD PARK DR
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33437-7523
Mailing Address - Country:US
Mailing Address - Phone:954-260-8085
Mailing Address - Fax:
Practice Address - Street 1:7919 PICKLEWOOD PARK DR
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33437-7523
Practice Address - Country:US
Practice Address - Phone:954-260-8085
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-20
Last Update Date:2021-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW7985104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker