DR. SHARON ELIZABETH OTIS ED.D, PH.D., L.M.H.C
NPI 1639220734
Counselor - Mental Health in Bradenton, FL
Active since January 15, 2007
About Dr. Sharon Elizabeth Otis Ed.d, Ph.d., L.m.h.c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SHARON ELIZABETH OTIS ED.D, PH.D., L.M.H.C (NPI 1639220734) is an individual mental health provider in Bradenton, Florida, licensed in Florida (MH-1682) and active in the NPI registry since January 2007.
NPPES Registry Identity
NPI1639220734
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameDR. SHARON ELIZABETH OTISCredential: ED.D, PH.D., L.M.H.C
Location Address5910 CORTEZ RD W STE 160Bradenton, FL 34210-2706
Mailing Address3812 Royal Palm DrBradenton, FL 34210-1305 · (941) 792-4988
Phone(941) 792-4988
Sole ProprietorYes
Enumeration DateJanuary 15, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1639220734 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in FL · MH-1682
5910 CORTEZ RD W STE 160, Bradenton, FL 34210
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1639220734, enumerated as an "individual" on January 15, 2007.
The provider is located at 5910 CORTEZ RD W STE 160 BRADENTON, FL 34210 and the phone number is (941) 792-4988.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
