Provider Demographics
NPI:1558362988
Name:SHARLIN, HARRIET M (PSYD)
Entity Type:Individual
Prefix:DR
First Name:HARRIET
Middle Name:M
Last Name:SHARLIN
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 1:252 S STATE ST
Mailing Address - Street 2:
Mailing Address - City:NEWTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18940-3511
Mailing Address - Country:US
Mailing Address - Phone:215-860-5455
Mailing Address - Fax:609-219-0446
Practice Address - Street 1:252 S STATE ST
Practice Address - Street 2:
Practice Address - City:NEWTOWN
Practice Address - State:PA
Practice Address - Zip Code:18940-3511
Practice Address - Country:US
Practice Address - Phone:215-860-5455
Practice Address - Fax:609-219-0446
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS005690L103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
620938Medicare ID - Type UnspecifiedMEDICARE PROVIDER #