Individual
SHARON L BRENNER
Active
Individual
SHARON L BRENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810004625
VA
103TC2200X
Clinical Child & Adolescent Psychologist
0810004625
VA
Other
Enumeration date
09/04/2012
Last updated
09/04/2012
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