Provider Demographics
NPI:1295957272
Name:RAUSCHENBERGER, SHARON LYNN (PHD)
Entity type:Individual
Prefix:
First Name:SHARON
Middle Name:LYNN
Last Name:RAUSCHENBERGER
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 1:210 FOX HOLLOW RD
Mailing Address - Street 2:
Mailing Address - City:GLEN GARDNER
Mailing Address - State:NJ
Mailing Address - Zip Code:08826-3201
Mailing Address - Country:US
Mailing Address - Phone:908-638-5624
Mailing Address - Fax:
Practice Address - Street 1:6 LEIGH ST
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:NJ
Practice Address - Zip Code:08809-1310
Practice Address - Country:US
Practice Address - Phone:908-730-9019
Practice Address - Fax:908-730-6881
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJSI 003679103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist