Provider Demographics
NPI:1538244934
Name:ALPER, SHARON ZYNC (ACSW LICSW)
Entity type:Individual
Prefix:MS
First Name:SHARON
Middle Name:ZYNC
Last Name:ALPER
Suffix:
Gender:F
Credentials:ACSW LICSW
Other - Prefix:MS
Other - First Name:SHERRI
Other - Middle Name:ZYNC
Other - Last Name:ALPER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:ACSW LICSW
Mailing Address - Street 1:976 BOWEN HILL RD
Mailing Address - Street 2:S ALPER THE SPICER CENTER
Mailing Address - City:EAST DORSET
Mailing Address - State:VT
Mailing Address - Zip Code:05253
Mailing Address - Country:US
Mailing Address - Phone:802-362-0994
Mailing Address - Fax:802-362-1867
Practice Address - Street 1:113 SCHOOL ST
Practice Address - Street 2:THE SPICER CENTER
Practice Address - City:MANCHESTER CENTER
Practice Address - State:VT
Practice Address - Zip Code:05255
Practice Address - Country:US
Practice Address - Phone:802-362-0994
Practice Address - Fax:802-362-1867
Is Sole Proprietor?:No
Enumeration Date:2006-10-25
Last Update Date:2017-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VTVT890000268103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT0VN0266Medicaid
T002879OtherCHAMPUS
VT13235600OtherMAGELLAN
VT18111OtherBC BS
VT13235600OtherMAGELLAN
VN0266Medicare PIN