Provider Demographics
NPI:1356987150
Name:SUTHERLAND, SHARON LYNN (LMFT)
Entity type:Individual
Prefix:
First Name:SHARON
Middle Name:LYNN
Last Name:SUTHERLAND
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3817 EDITH LN
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93304-6703
Mailing Address - Country:US
Mailing Address - Phone:661-834-7789
Mailing Address - Fax:661-834-2340
Practice Address - Street 1:3817 EDITH LN
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93304-6703
Practice Address - Country:US
Practice Address - Phone:661-834-7789
Practice Address - Fax:661-834-2340
Is Sole Proprietor?:No
Enumeration Date:2019-11-27
Last Update Date:2019-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA39566106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist