Provider Demographics
NPI:1992107346
Name:TROUPE, SHARON DELORIS (MA)
Entity type:Individual
Prefix:
First Name:SHARON
Middle Name:DELORIS
Last Name:TROUPE
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2109 BANNEKER WAY
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34234-6304
Mailing Address - Country:US
Mailing Address - Phone:941-400-7660
Mailing Address - Fax:
Practice Address - Street 1:2109 BANNEKER WAY
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34234-6304
Practice Address - Country:US
Practice Address - Phone:941-400-7660
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-17
Last Update Date:2024-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLIMH4862101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health