Provider Demographics
NPI:1063711273
Name:WEGMAN, SHARON MICHELLE (LPC)
Entity type:Individual
Prefix:MRS
First Name:SHARON
Middle Name:MICHELLE
Last Name:WEGMAN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1521 GREENVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19601-1320
Mailing Address - Country:US
Mailing Address - Phone:610-334-4553
Mailing Address - Fax:
Practice Address - Street 1:1521 GREENVIEW AVE
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19601-1320
Practice Address - Country:US
Practice Address - Phone:610-334-4553
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-28
Last Update Date:2011-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC005803101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional