Provider Demographics
NPI:1548293723
Name:COMEAU, SHARYN M (MD)
Entity type:Individual
Prefix:
First Name:SHARYN
Middle Name:M
Last Name:COMEAU
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13251 FALLS OF NEUSE RD STE 121
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27614-8573
Mailing Address - Country:US
Mailing Address - Phone:919-785-5055
Mailing Address - Fax:984-235-1617
Practice Address - Street 1:4515 FALLS OF NEUSE RD
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-6290
Practice Address - Country:US
Practice Address - Phone:919-238-6760
Practice Address - Fax:919-238-6760
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-09
Last Update Date:2025-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2000003852084P0804X
NC2000-003852084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC891266EMedicaid
NC891266EMedicaid
NC2281218BMedicare ID - Type Unspecified