Provider Demographics
NPI:1073343562
Name:PALAS, SHARON K (MAC)
Entity type:Individual
Prefix:
First Name:SHARON
Middle Name:K
Last Name:PALAS
Suffix:
Gender:F
Credentials:MAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6264 SUNSHINE DR
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63109-3809
Mailing Address - Country:US
Mailing Address - Phone:636-236-4417
Mailing Address - Fax:
Practice Address - Street 1:260 CLARKSON RD
Practice Address - Street 2:
Practice Address - City:ELLISVILLE
Practice Address - State:MO
Practice Address - Zip Code:63011-2245
Practice Address - Country:US
Practice Address - Phone:636-236-4417
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-07
Last Update Date:2024-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health