Provider Demographics
NPI:1912027301
Name:FRIDAY, SHARON ANN (PHD)
Entity Type:Individual
Prefix:DR
First Name:SHARON
Middle Name:ANN
Last Name:FRIDAY
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8425 BAY VIEW DR
Mailing Address - Street 2:307 S. MCKENZIE ST. SUITE 111
Mailing Address - City:FOLEY
Mailing Address - State:AL
Mailing Address - Zip Code:36535-9042
Mailing Address - Country:US
Mailing Address - Phone:251-955-1232
Mailing Address - Fax:251-955-2060
Practice Address - Street 1:8425 BAY VIEW DR
Practice Address - Street 2:307 S. MCKENZIE ST. STE. 111
Practice Address - City:FOLEY
Practice Address - State:AL
Practice Address - Zip Code:36535-9042
Practice Address - Country:US
Practice Address - Phone:251-955-1232
Practice Address - Fax:251-955-2060
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1122101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health