Provider Demographics
NPI:1649954389
Name:SHARKEY, ERIN (MED)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:SHARKEY
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:191 PRESIDENTIAL BLVD STE W10
Mailing Address - Street 2:
Mailing Address - City:BALA CYNWYD
Mailing Address - State:PA
Mailing Address - Zip Code:19004-1205
Mailing Address - Country:US
Mailing Address - Phone:267-691-1623
Mailing Address - Fax:
Practice Address - Street 1:191 PRESIDENTIAL BLVD STE W10
Practice Address - Street 2:
Practice Address - City:BALA CYNWYD
Practice Address - State:PA
Practice Address - Zip Code:19004-1205
Practice Address - Country:US
Practice Address - Phone:267-691-1623
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-13
Last Update Date:2025-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC018660101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional