Provider Demographics
NPI:1588015051
Name:CUMMINGS, SHARON L (CAMS-I)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:L
Last Name:CUMMINGS
Suffix:
Gender:F
Credentials:CAMS-I
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 1921
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:MD
Mailing Address - Zip Code:20735-6921
Mailing Address - Country:US
Mailing Address - Phone:877-992-2256
Mailing Address - Fax:
Practice Address - Street 1:8617 WENDY ST
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:MD
Practice Address - Zip Code:20735-2979
Practice Address - Country:US
Practice Address - Phone:877-992-2256
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-27
Last Update Date:2016-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst