Provider Demographics
NPI:1598086936
Name:CAMBRIDGE, SHARON (MS SLP)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:
Last Name:CAMBRIDGE
Suffix:
Gender:F
Credentials:MS SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1611 COURTNEY LANDING DR
Mailing Address - Street 2:#9308
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28217-3188
Mailing Address - Country:US
Mailing Address - Phone:980-422-5887
Mailing Address - Fax:
Practice Address - Street 1:1611 COURTNEY LANDING DR
Practice Address - Street 2:#9308
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28217-3188
Practice Address - Country:US
Practice Address - Phone:980-422-5887
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-21
Last Update Date:2012-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9296235Z00000X
SC4931235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist