Provider Demographics
NPI:1578898516
Name:TOBIAS, SHARON GALE (PHD)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:GALE
Last Name:TOBIAS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:SHARON
Other - Middle Name:GALE
Other - Last Name:TRONGONE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:130 POMPTON AVENUE
Mailing Address - Street 2:MONTCLAIR PSYCHOLOGY ASSOCIATES
Mailing Address - City:VERONA
Mailing Address - State:NJ
Mailing Address - Zip Code:07044-2943
Mailing Address - Country:US
Mailing Address - Phone:973-857-4400
Mailing Address - Fax:973-857-4411
Practice Address - Street 1:130 POMPTON AVE
Practice Address - Street 2:MONTCLAIR PSYCHOLOGY ASSOCIATES
Practice Address - City:VERONA
Practice Address - State:NJ
Practice Address - Zip Code:07044-2943
Practice Address - Country:US
Practice Address - Phone:973-857-4400
Practice Address - Fax:973-857-4411
Is Sole Proprietor?:No
Enumeration Date:2009-10-08
Last Update Date:2010-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010379-1103T00000X
NJ3135103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist