Provider Demographics
NPI:1487927943
Name:SILVER-REGENT, SHARON LYN (PHD)
Entity type:Individual
Prefix:DR
First Name:SHARON
Middle Name:LYN
Last Name:SILVER-REGENT
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 1:370 E 76TH ST
Mailing Address - Street 2:SUITE A1602
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-2547
Mailing Address - Country:US
Mailing Address - Phone:212-628-6964
Mailing Address - Fax:866-341-5918
Practice Address - Street 1:370 E 76TH ST
Practice Address - Street 2:SUITE A1602
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-2547
Practice Address - Country:US
Practice Address - Phone:212-628-6964
Practice Address - Fax:866-341-5918
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-14
Last Update Date:2012-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012113-1103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical