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Individual

SHARON M. LABS

Active
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Individual

SHARON M. LABS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D.

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
608
OR
103T00000X
Psychologist
608
OR
103TC0700X
Clinical Psychologist
608
OR
103TH0100X
Health Service Psychologist
608
OR
103TR0400X
Rehabilitation Psychologist
608
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
150266
OR
Enumeration date
10/26/2005
Last updated
12/12/2014
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