Provider Demographics
NPI:1528398625
Name:PEACHEY MARSHALL, SHARON JEAN (PSYD)
Entity Type:Individual
Prefix:DR
First Name:SHARON
Middle Name:JEAN
Last Name:PEACHEY MARSHALL
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 1:2209 BRIAR CREEK WAY
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34235-9106
Mailing Address - Country:US
Mailing Address - Phone:941-379-6444
Mailing Address - Fax:
Practice Address - Street 1:871 VENETIA BAY BLVD
Practice Address - Street 2:SUITE 360
Practice Address - City:VENICE
Practice Address - State:FL
Practice Address - Zip Code:34285-8047
Practice Address - Country:US
Practice Address - Phone:941-480-9000
Practice Address - Fax:941-480-9013
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-12
Last Update Date:2010-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL8043103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist