Individual
DR. SHARON R VENEMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1326 GARLAND RD, SOUTH BEND, IN 46614-2105
(574) 213-4501
Mailing address
1326 GARLAND RD, SOUTH BEND, IN 46614-2105
(574) 213-4501
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
PSY9963
CA
103TC0700X
Clinical Psychologist
Primary
20043014A
IN
103TC0700X
Clinical Psychologist
PSY9963
CA
Other
Enumeration date
11/07/2006
Last updated
03/06/2017
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