Provider Demographics
NPI:1568653129
Name:MUNCH, SHARI LYNN (PHD)
Entity type:Individual
Prefix:DR
First Name:SHARI
Middle Name:LYNN
Last Name:MUNCH
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:277 ABBEY DR
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:NJ
Mailing Address - Zip Code:08873-6403
Mailing Address - Country:US
Mailing Address - Phone:732-763-0506
Mailing Address - Fax:
Practice Address - Street 1:31 CLYDE RD STE 201
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:NJ
Practice Address - Zip Code:08873-5047
Practice Address - Country:US
Practice Address - Phone:732-763-0506
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-07
Last Update Date:2007-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC052243001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical