Provider Demographics
NPI:1841022811
Name:KLINGER, SHARON MARIE (BSL, MA, LMT)
Entity type:Individual
Prefix:MRS
First Name:SHARON
Middle Name:MARIE
Last Name:KLINGER
Suffix:
Gender:F
Credentials:BSL, MA, LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:405 BLACKHAWK DR
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:PA
Mailing Address - Zip Code:17922-9545
Mailing Address - Country:US
Mailing Address - Phone:570-956-7397
Mailing Address - Fax:
Practice Address - Street 1:405 BLACKHAWK DR
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:PA
Practice Address - Zip Code:17922-9545
Practice Address - Country:US
Practice Address - Phone:570-573-5932
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-17
Last Update Date:2024-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PABH000929103K00000X
PAPC018071101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty