Provider Demographics
NPI:1790127041
Name:BAKER-BEY, SHARON NABILA (LPC)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:NABILA
Last Name:BAKER-BEY
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 1:704 W GIRARD AVE
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19123-1313
Mailing Address - Country:US
Mailing Address - Phone:215-992-2050
Mailing Address - Fax:866-562-1376
Practice Address - Street 1:704 W GIRARD AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19123-1313
Practice Address - Country:US
Practice Address - Phone:215-992-2050
Practice Address - Fax:866-562-1376
Is Sole Proprietor?:No
Enumeration Date:2013-07-26
Last Update Date:2013-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC005318101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional