Provider Demographics
NPI:1871651133
Name:DLUGOSZ, SHARON MEYER (PSYD)
Entity Type:Individual
Prefix:DR
First Name:SHARON
Middle Name:MEYER
Last Name:DLUGOSZ
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:SHARON
Other - Middle Name:
Other - Last Name:MEYER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PSYD
Mailing Address - Street 1:14 LAKE VIEW RD
Mailing Address - Street 2:
Mailing Address - City:GT BARRINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:01230
Mailing Address - Country:US
Mailing Address - Phone:413-717-0365
Mailing Address - Fax:413-499-1844
Practice Address - Street 1:14 LAKE VIEW RD
Practice Address - Street 2:
Practice Address - City:GREAT BARRINGTON
Practice Address - State:MA
Practice Address - Zip Code:01230-1057
Practice Address - Country:US
Practice Address - Phone:413-717-0365
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-05
Last Update Date:2022-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103T00000X
MA8089103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA127683000OtherMAGELLAN
MA667870OtherTUFTS
MA667870OtherTUFTS