Provider Demographics
NPI:1710077037
Name:SCHULMAN, SHARON LEE (PSYCHOLOGIST)
Entity Type:Individual
Prefix:MRS
First Name:SHARON
Middle Name:LEE
Last Name:SCHULMAN
Suffix:
Gender:F
Credentials:PSYCHOLOGIST
Other - Prefix:
Other - First Name:SHARON
Other - Middle Name:LEE
Other - Last Name:PETERSON-SCHULMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6344 N SANTA MONICA BLVD
Mailing Address - Street 2:
Mailing Address - City:WHITEFISH BAY
Mailing Address - State:WI
Mailing Address - Zip Code:53217-4354
Mailing Address - Country:US
Mailing Address - Phone:386-986-9725
Mailing Address - Fax:904-986-9727
Practice Address - Street 1:6344 N SANTA MONICA BLVD
Practice Address - Street 2:
Practice Address - City:WHITEFISH BAY
Practice Address - State:WI
Practice Address - Zip Code:53217-4354
Practice Address - Country:US
Practice Address - Phone:386-986-9725
Practice Address - Fax:386-986-9727
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-15
Last Update Date:2019-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI3148-57103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL75181ZMedicare ID - Type Unspecified