Provider Demographics
NPI:1710319330
Name:CUFF, SHARON (PSY D)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:
Last Name:CUFF
Suffix:
Gender:F
Credentials:PSY D
Other - Prefix:DR
Other - First Name:SHARON
Other - Middle Name:
Other - Last Name:CUFF
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PSY D
Mailing Address - Street 1:2234 W BEACH RD
Mailing Address - Street 2:
Mailing Address - City:OAK HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98277-8874
Mailing Address - Country:US
Mailing Address - Phone:818-730-3252
Mailing Address - Fax:
Practice Address - Street 1:3475 N SARATOGA ST
Practice Address - Street 2:
Practice Address - City:OAK HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98278-4927
Practice Address - Country:US
Practice Address - Phone:360-257-9632
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-06
Last Update Date:2023-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPY60683491103T00000X, 103TC0700X
101YM0800X
WALH60559864101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1710319330Medicaid