Provider Demographics
NPI:1760797013
Name:EHRENBERG, SHARON R (AUD)
Entity Type:Individual
Prefix:DR
First Name:SHARON
Middle Name:R
Last Name:EHRENBERG
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2800 W HIGGINS RD
Mailing Address - Street 2:SUITE 120
Mailing Address - City:HOFFMAN ESTATES
Mailing Address - State:IL
Mailing Address - Zip Code:60169-2071
Mailing Address - Country:US
Mailing Address - Phone:847-843-1900
Mailing Address - Fax:847-843-1901
Practice Address - Street 1:162 S SOUTH ST
Practice Address - Street 2:SUITE 102
Practice Address - City:GASTONIA
Practice Address - State:NC
Practice Address - Zip Code:28052-4125
Practice Address - Country:US
Practice Address - Phone:704-865-6628
Practice Address - Fax:704-865-6638
Is Sole Proprietor?:No
Enumeration Date:2010-08-11
Last Update Date:2011-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VASE6830237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter