Provider Demographics
NPI:1780214122
Name:MORTON, SHARON MAY
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:MAY
Last Name:MORTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6441 GOLDFINCH DR
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43081-3713
Mailing Address - Country:US
Mailing Address - Phone:614-400-1657
Mailing Address - Fax:
Practice Address - Street 1:6441 GOLDFINCH DR
Practice Address - Street 2:
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43081-3713
Practice Address - Country:US
Practice Address - Phone:614-400-1657
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-24
Last Update Date:2020-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty