Provider Demographics
NPI:1356696801
Name:SHARROW, KAITLYN (LMHC)
Entity type:Individual
Prefix:
First Name:KAITLYN
Middle Name:
Last Name:SHARROW
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225D N SHORE BLVD
Mailing Address - Street 2:
Mailing Address - City:EAST SANDWICH
Mailing Address - State:MA
Mailing Address - Zip Code:02537-1038
Mailing Address - Country:US
Mailing Address - Phone:508-259-2950
Mailing Address - Fax:
Practice Address - Street 1:225D N SHORE BLVD
Practice Address - Street 2:
Practice Address - City:EAST SANDWICH
Practice Address - State:MA
Practice Address - Zip Code:02537-1038
Practice Address - Country:US
Practice Address - Phone:508-259-2950
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-20
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10194101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health