Provider Demographics
NPI:1154041333
Name:PEDROSA, SHARON (PSYD)
Entity type:Individual
Prefix:DR
First Name:SHARON
Middle Name:
Last Name:PEDROSA
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 1:1010 S FEDERAL HWY STE 1400
Mailing Address - Street 2:
Mailing Address - City:HALLANDALE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33009-7186
Mailing Address - Country:US
Mailing Address - Phone:954-448-5904
Mailing Address - Fax:
Practice Address - Street 1:1010 S FEDERAL HWY STE 1400
Practice Address - Street 2:
Practice Address - City:HALLANDALE BEACH
Practice Address - State:FL
Practice Address - Zip Code:33009-7186
Practice Address - Country:US
Practice Address - Phone:305-985-6037
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-30
Last Update Date:2025-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSS1343103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist