Provider Demographics
NPI:1780718940
Name:BALSAMA, SHARON LEE (MED, NCC, LPC)
Entity type:Individual
Prefix:MRS
First Name:SHARON
Middle Name:LEE
Last Name:BALSAMA
Suffix:
Gender:F
Credentials:MED, NCC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:272 CENTER POINT LN
Mailing Address - Street 2:
Mailing Address - City:LANSDALE
Mailing Address - State:PA
Mailing Address - Zip Code:19446-5938
Mailing Address - Country:US
Mailing Address - Phone:610-222-9104
Mailing Address - Fax:
Practice Address - Street 1:272 CENTER POINT LN
Practice Address - Street 2:
Practice Address - City:LANSDALE
Practice Address - State:PA
Practice Address - Zip Code:19446-5938
Practice Address - Country:US
Practice Address - Phone:610-222-4688
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PALPC 001751174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist