Provider Demographics
NPI:1790936490
Name:STRICKLAND, SHARON KELLY (PSYD, CFBPPC)
Entity Type:Individual
Prefix:DR
First Name:SHARON
Middle Name:KELLY
Last Name:STRICKLAND
Suffix:
Gender:F
Credentials:PSYD, CFBPPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 E MAIN ST
Mailing Address - Street 2:SUITE 209
Mailing Address - City:CLAYTON
Mailing Address - State:NC
Mailing Address - Zip Code:27520-2545
Mailing Address - Country:US
Mailing Address - Phone:919-333-0347
Mailing Address - Fax:
Practice Address - Street 1:401 E MAIN ST
Practice Address - Street 2:SUITE 209
Practice Address - City:CLAYTON
Practice Address - State:NC
Practice Address - Zip Code:27520-2545
Practice Address - Country:US
Practice Address - Phone:919-333-0347
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-01
Last Update Date:2008-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC71101YP1600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral