Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103G00000X | Clinical Psychologist | 017767 | NY |
N | 103TC0700X | Clinical Psychologist | 017767 | NY |
Y | 103G00000X | Clinical Psychologist | 8944 | MA |
Y | 103TC0700X | Clinical Psychologist | 8944 | MA |
NPI | 1003051137 |
---|---|
Provider Name | Dr. Sharon Cohan Sung |
First Address | Boston, MA 02114-2790 |
Second Address | Boston, MA 02114-2790 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/12/2008 |
Last Update Date | 03/12/2008 |