Provider Demographics
NPI:1518021419
Name:CLAYMAN, SHARON L (PSYD)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:L
Last Name:CLAYMAN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:290 HIGHLAND AVE
Mailing Address - Street 2:SUITE 2
Mailing Address - City:CHESHIRE
Mailing Address - State:CT
Mailing Address - Zip Code:06410-2564
Mailing Address - Country:US
Mailing Address - Phone:203-314-4355
Mailing Address - Fax:
Practice Address - Street 1:290 HIGHLAND AVE
Practice Address - Street 2:SUITE 2
Practice Address - City:CHESHIRE
Practice Address - State:CT
Practice Address - Zip Code:06410-2564
Practice Address - Country:US
Practice Address - Phone:203-314-4355
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-22
Last Update Date:2016-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT002725103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT004236338Medicaid