Provider Demographics
NPI:1508995903
Name:DREW, SHARYN BETH (PHD)
Entity Type:Individual
Prefix:DR
First Name:SHARYN
Middle Name:BETH
Last Name:DREW
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:SHARYN
Other - Middle Name:BETH
Other - Last Name:MATTHEWS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:2 BONNIE DR
Mailing Address - Street 2:
Mailing Address - City:EXETER
Mailing Address - State:NH
Mailing Address - Zip Code:03833-1805
Mailing Address - Country:US
Mailing Address - Phone:603-812-1263
Mailing Address - Fax:
Practice Address - Street 1:2 BONNIE DR
Practice Address - Street 2:
Practice Address - City:EXETER
Practice Address - State:NH
Practice Address - Zip Code:03833-1805
Practice Address - Country:US
Practice Address - Phone:603-812-1263
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-04
Last Update Date:2020-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA396436103TS0200X
NH7711041C0700X
MA1136251041C0700X
NH82751103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical