Provider Demographics
NPI:1134380256
Name:TOTTEN, SHARON LEA (LCAT)
Entity type:Individual
Prefix:MS
First Name:SHARON
Middle Name:LEA
Last Name:TOTTEN
Suffix:
Gender:F
Credentials:LCAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:275 NORTH ST
Mailing Address - Street 2:ST. VINCENTS HOSPITAL
Mailing Address - City:HARRISON
Mailing Address - State:NY
Mailing Address - Zip Code:10528-1524
Mailing Address - Country:US
Mailing Address - Phone:914-925-5453
Mailing Address - Fax:914-925-5150
Practice Address - Street 1:275 NORTH ST
Practice Address - Street 2:ST. VINCENTS HOSPITAL
Practice Address - City:HARRISON
Practice Address - State:NY
Practice Address - Zip Code:10528-1524
Practice Address - Country:US
Practice Address - Phone:914-925-5453
Practice Address - Fax:914-925-5150
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-20
Last Update Date:2008-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY05000582101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health