Individual
DR. SHARON ANN DIMMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
4211 OKEMOS RD, SUITE 8, OKEMOS, MI 48864-3287
(517) 282-1191
(517) 579-5863
Mailing address
4211 OKEMOS RD, SUITE 8, OKEMOS, MI 48864-3287
(517) 337-9794
(517) 579-5863
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301007541
MI
103TC0700X
Clinical Psychologist
6301007541
MI
103TC2200X
Clinical Child & Adolescent Psychologist
6301007541
MI
103TF0000X
Family Psychologist
6301007541
MI
103TP2701X
Group Psychotherapy Psychologist
6301007541
MI
163W00000X
Registered Nurse
4704075602
MI
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
4704075602
MI
163WP0808X
Psychiatric/Mental Health Registered Nurse
4704075602
MI
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
4704075602
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
039180
VALUE OPTIONS
MI
01
—
15792000
MAGELLAN
MI
01
—
680C313790
BCBS OF MI
MI
Enumeration date
12/02/2006
Last updated
10/03/2013
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