Provider Demographics
NPI:1922184480
Name:LERNER-BARON, SHARON JILL (PHD)
Entity Type:Individual
Prefix:DR
First Name:SHARON
Middle Name:JILL
Last Name:LERNER-BARON
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3252 HOLIDAY COURT
Mailing Address - Street 2:# 225
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92037
Mailing Address - Country:US
Mailing Address - Phone:858-457-4585
Mailing Address - Fax:858-538-7680
Practice Address - Street 1:3252 HOLIDAY COURT
Practice Address - Street 2:# 225
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92037
Practice Address - Country:US
Practice Address - Phone:858-457-4585
Practice Address - Fax:858-538-7680
Is Sole Proprietor?:No
Enumeration Date:2006-10-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY15644103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical