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Organization

SHARON P AUSTIN, PSYD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SHARON PATRICIA AUSTIN PSYD (CLINICAL PSYCHOLOGIST)
(970) 493-4093
Entity
Organization

Contact information

Practice address
315 CANYON AVE, SUITE A, FORT COLLINS, CO 80521-2677
(970) 493-4093
(970) 472-6799
Mailing address
315 CANYON AVE, SUITE A, FORT COLLINS, CO 80521-2677
(970) 493-4093
(970) 472-6799

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2113
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1467505461
NATIONAL PROVIDER NUMBER - INDIVIDUAL
CO
Enumeration date
03/10/2009
Last updated
11/09/2012
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