Provider Demographics
NPI:1740556935
Name:SHARPE, MARJORIE (MT-BC NMT)
Entity Type:Individual
Prefix:
First Name:MARJORIE
Middle Name:
Last Name:SHARPE
Suffix:
Gender:F
Credentials:MT-BC NMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1233 STRATHMORE CIR
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27104-1342
Mailing Address - Country:US
Mailing Address - Phone:336-624-6690
Mailing Address - Fax:
Practice Address - Street 1:1233 STRATHMORE CIR
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27104-1342
Practice Address - Country:US
Practice Address - Phone:336-624-6690
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-01
Last Update Date:2015-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist