| Irene F Sharp Llc | |
|
69 Joy Dr Apt D5 South Burlington VT 05403-6123 | |
| (802) 865-3450 | |
| (802) 860-5011 |
| Full Name | Irene F Sharp Llc |
|---|---|
| Speciality | Psychologist |
| Location | 69 Joy Dr Apt D5, South Burlington, Vermont |
| Authorized Official Name and Position | Irene F Sharp (PSYCHOLOGIST-MASTER) |
| Authorized Official Contact | 8028653450 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Irene F Sharp Llc 86 Lake St Ste 110 Burlington VT 05401-5297 Ph: (802) 865-3450 | Irene F Sharp Llc 69 Joy Dr Apt D5 South Burlington VT 05403-6123 Ph: (802) 865-3450 |
| NPI Number | 1891557674 |
|---|---|
| Provider Enumeration Date | 01/26/2024 |
| Last Update Date | 01/26/2024 |
| Certification Date | 01/26/2024 |
| Medicare PECOS PAC ID | 9830537190 |
|---|---|
| Medicare Enrollment ID | O20240404003956 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891557674 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Irene F Sharp |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235151663 PECOS PAC ID: 2668430430 Enrollment ID: I20240404004043 |
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