Provider Demographics
NPI:1659587186
Name:DONENFELD, SHARON ETTA (MA, LMFT)
Entity Type:Individual
Prefix:MRS
First Name:SHARON
Middle Name:ETTA
Last Name:DONENFELD
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 MAPLEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:NORTHPORT
Mailing Address - State:NY
Mailing Address - Zip Code:11768-3431
Mailing Address - Country:US
Mailing Address - Phone:631-754-5282
Mailing Address - Fax:
Practice Address - Street 1:15 MAPLEWOOD DR
Practice Address - Street 2:
Practice Address - City:NORTHPORT
Practice Address - State:NY
Practice Address - Zip Code:11768-3431
Practice Address - Country:US
Practice Address - Phone:631-460-9069
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000609-1106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist