Individual
MELISSA JANE SHARP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1434 E MAIN ST, STE B, ST CHARLES, IL 60174
(630) 777-6333
Mailing address
1434 E MAIN ST, STE B, ST CHARLES, IL 60174
(630) 777-6333
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
071006672
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4532172
BLUE CROSS / BLUE SHIELD
IL
01
—
733951000
MAGELLAN
IL
01
—
7715574
AETNA
IL
01
—
9341323
PHCS
IL
Enumeration date
08/01/2006
Last updated
03/12/2020
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