Provider Demographics
NPI:1710104104
Name:DELGADO, SHARYN KAYE (LPC)
Entity Type:Individual
Prefix:
First Name:SHARYN
Middle Name:KAYE
Last Name:DELGADO
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 N ROSEMONT ST
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79106-5214
Mailing Address - Country:US
Mailing Address - Phone:806-671-4830
Mailing Address - Fax:
Practice Address - Street 1:1721 S. TYLER
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79102-5214
Practice Address - Country:US
Practice Address - Phone:806-671-4830
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-19
Last Update Date:2007-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX60374101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1830887Medicaid