Provider Demographics
NPI:1558699033
Name:TERMINI, SHARON MAY
Entity Type:Individual
Prefix:MRS
First Name:SHARON
Middle Name:MAY
Last Name:TERMINI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2651 W EAU GALLIE BLVD STE B
Mailing Address - Street 2:
Mailing Address - City:MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32935-8957
Mailing Address - Country:US
Mailing Address - Phone:321-752-0507
Mailing Address - Fax:321-752-0507
Practice Address - Street 1:2651 W EAU GALLIE BLVD STE B
Practice Address - Street 2:
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32935-8957
Practice Address - Country:US
Practice Address - Phone:321-752-0507
Practice Address - Fax:321-752-0507
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-23
Last Update Date:2009-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health