Provider Demographics
NPI:1316076748
Name:GREENFIELD, SHARON (PSYD)
Entity type:Individual
Prefix:DR
First Name:SHARON
Middle Name:
Last Name:GREENFIELD
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 1:38 LEXINGTON ST
Mailing Address - Street 2:SUITE E
Mailing Address - City:BELMONT
Mailing Address - State:MA
Mailing Address - Zip Code:02478-5009
Mailing Address - Country:US
Mailing Address - Phone:617-484-3577
Mailing Address - Fax:
Practice Address - Street 1:38 LEXINGTON ST
Practice Address - Street 2:SUITE E
Practice Address - City:BELMONT
Practice Address - State:MA
Practice Address - Zip Code:02478-5009
Practice Address - Country:US
Practice Address - Phone:617-484-3577
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA6284103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical