Provider Demographics
NPI:1518527464
Name:SHARON SARNO PSYCHOTHERAPY LLC
Entity Type:Organization
Organization Name:SHARON SARNO PSYCHOTHERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOTHERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:A
Authorized Official - Last Name:SARNO
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:732-266-1425
Mailing Address - Street 1:475 DUNHAMS CORNER RD
Mailing Address - Street 2:
Mailing Address - City:EAST BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08816-3263
Mailing Address - Country:US
Mailing Address - Phone:908-331-1498
Mailing Address - Fax:
Practice Address - Street 1:2 BRIER HILL COURT
Practice Address - Street 2:BUILDING C, SUITE 200 A
Practice Address - City:EAST BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08816-0881
Practice Address - Country:US
Practice Address - Phone:908-331-1498
Practice Address - Fax:732-390-4002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-13
Last Update Date:2019-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)