Provider Demographics
NPI:1366263519
Name:SHARPE, BELINDA MARENIUS
Entity type:Individual
Prefix:
First Name:BELINDA
Middle Name:MARENIUS
Last Name:SHARPE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:271 LINCOLN ST
Mailing Address - Street 2:
Mailing Address - City:PITTSFIELD
Mailing Address - State:ME
Mailing Address - Zip Code:04967-3527
Mailing Address - Country:US
Mailing Address - Phone:207-487-2444
Mailing Address - Fax:
Practice Address - Street 1:48 S FACTORY ST
Practice Address - Street 2:
Practice Address - City:SKOWHEGAN
Practice Address - State:ME
Practice Address - Zip Code:04976-1441
Practice Address - Country:US
Practice Address - Phone:207-474-8740
Practice Address - Fax:207-474-8515
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-21
Last Update Date:2024-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool