Individual
DR. THEODORE M SHARPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2530 SANDCREST BLVD, COLUMBUS, IN 47203-3047
(812) 372-3177
Mailing address
6045 WATERSIDE DR, COLUMBUS, IN 47201-3917
(812) 376-6075
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20010197A
IN
Other
Enumeration date
04/12/2007
Last updated
07/08/2007
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