Provider Demographics
NPI:1548089345
Name:BANKS, SHARON DANA (PHD)
Entity type:Individual
Prefix:DR
First Name:SHARON
Middle Name:DANA
Last Name:BANKS
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 1:39 OLNEY ST APT 207
Mailing Address - Street 2:
Mailing Address - City:TAUNTON
Mailing Address - State:MA
Mailing Address - Zip Code:02780-4144
Mailing Address - Country:US
Mailing Address - Phone:804-363-0535
Mailing Address - Fax:
Practice Address - Street 1:944 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:SOUTH EASTON
Practice Address - State:MA
Practice Address - Zip Code:02375-1177
Practice Address - Country:US
Practice Address - Phone:781-924-7171
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-08
Last Update Date:2024-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional