Provider Demographics
NPI:1750691168
Name:FURMAN, SHARON (PSYD)
Entity type:Individual
Prefix:
First Name:SHARON
Middle Name:
Last Name:FURMAN
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 1:4350 VANTAGE AVE.
Mailing Address - Street 2:#102
Mailing Address - City:STUDIO CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91604-1791
Mailing Address - Country:US
Mailing Address - Phone:310-498-8060
Mailing Address - Fax:909-595-1329
Practice Address - Street 1:4350 VANTAGE AVE.
Practice Address - Street 2:#102
Practice Address - City:STUDIO CITY
Practice Address - State:CA
Practice Address - Zip Code:91604-1791
Practice Address - Country:US
Practice Address - Phone:310-498-8060
Practice Address - Fax:909-595-1329
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-19
Last Update Date:2024-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY 18427174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist