Individual
DR. DEBRA MELINDA SHARON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
6455 COLDWATER CANYON AVE, NORTH HOLLYWOOD, CA 91606-1112
(818) 623-6340
(818) 623-6390
Mailing address
6455 COLDWATER CANYON AVE, NORTH HOLLYWOOD, CA 91606-1112
(818) 623-6340
(818) 623-6390
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY 8908
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PSIX 324
DMH STAFF NUMBER
CA
Enumeration date
03/14/2007
Last updated
07/08/2007
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