Provider Demographics
NPI:1992006993
Name:MERRILL, SHARON P (MA)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:P
Last Name:MERRILL
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1829 E FRANKLIN ST STE 100H
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514-5862
Mailing Address - Country:US
Mailing Address - Phone:919-819-2921
Mailing Address - Fax:919-968-2998
Practice Address - Street 1:1829 E FRANKLIN ST STE 100H
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-5862
Practice Address - Country:US
Practice Address - Phone:919-819-2921
Practice Address - Fax:919-968-2998
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-06
Last Update Date:2014-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7899101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional