Provider Demographics
NPI:1740304682
Name:HOLLANDER, SHARON AIMEE (PSYD)
Entity type:Individual
Prefix:DR
First Name:SHARON
Middle Name:AIMEE
Last Name:HOLLANDER
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:946 LAKEHURST AVE
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:NJ
Mailing Address - Zip Code:08527-5248
Mailing Address - Country:US
Mailing Address - Phone:732-323-8466
Mailing Address - Fax:
Practice Address - Street 1:946 LAKEHURST AVE
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:NJ
Practice Address - Zip Code:08527-5248
Practice Address - Country:US
Practice Address - Phone:732-323-8466
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ4411103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical