Provider Demographics
NPI:1780904714
Name:BIRMAN, SHARON (PSYD)
Entity type:Individual
Prefix:DR
First Name:SHARON
Middle Name:
Last Name:BIRMAN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10380 WILSHIRE BLVD APT 402
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90024-4743
Mailing Address - Country:US
Mailing Address - Phone:818-601-6046
Mailing Address - Fax:
Practice Address - Street 1:10380 WILSHIRE BLVD APT 402
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90024-4743
Practice Address - Country:US
Practice Address - Phone:818-601-6046
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-01
Last Update Date:2015-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA26526103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist