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Individual
SHARON L HARTLEY
Active
Individual
SHARON L HARTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY17198
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
240604
MHN
CA
01
—
560439
VALUE OPTIONS
CA
01
—
PSY17198
STATE LICENSE
CA
Enumeration date
03/20/2007
Last updated
07/08/2007
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