Provider Demographics
NPI:1578827457
Name:SLYE, SHARON KAY (LMFT)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:KAY
Last Name:SLYE
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 128
Mailing Address - Street 2:
Mailing Address - City:EMILY
Mailing Address - State:MN
Mailing Address - Zip Code:56447-0128
Mailing Address - Country:US
Mailing Address - Phone:612-790-7083
Mailing Address - Fax:
Practice Address - Street 1:155 SHADY RIDGE RD NW
Practice Address - Street 2:
Practice Address - City:HUTCHINSON
Practice Address - State:MN
Practice Address - Zip Code:55350-1460
Practice Address - Country:US
Practice Address - Phone:320-234-3451
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-26
Last Update Date:2024-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2511106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist