Provider Demographics
NPI:1285606129
Name:MINZER BRYANT, SHARON ANNE (LCSW)
Entity type:Individual
Prefix:MS
First Name:SHARON
Middle Name:ANNE
Last Name:MINZER BRYANT
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11760 W SAMPLE RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33065-3199
Mailing Address - Country:US
Mailing Address - Phone:954-345-5644
Mailing Address - Fax:954-345-5683
Practice Address - Street 1:11760 W SAMPLE RD
Practice Address - Street 2:SUITE 101
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33065-3199
Practice Address - Country:US
Practice Address - Phone:954-345-5644
Practice Address - Fax:954-345-5683
Is Sole Proprietor?:No
Enumeration Date:2006-02-05
Last Update Date:2009-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSWL00025241041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical