Provider Demographics
NPI:1730211400
Name:GREENBERG, SHARON HELENE (PHD)
Entity type:Individual
Prefix:DR
First Name:SHARON
Middle Name:HELENE
Last Name:GREENBERG
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 1:1900 N NORTHLAKE WAY
Mailing Address - Street 2:SUITE 127
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98103-9051
Mailing Address - Country:US
Mailing Address - Phone:206-448-8765
Mailing Address - Fax:
Practice Address - Street 1:1900 N NORTHLAKE WAY
Practice Address - Street 2:SUITE 127
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98103-9051
Practice Address - Country:US
Practice Address - Phone:206-448-8765
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA901103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist