Individual
SHARON SMITH BRADY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
503 NW SHERIDAN RD, SUITE A, LAWTON, OK 73505-6521
(580) 355-7474
(580) 355-6765
Mailing address
503 NW SHERIDAN RD, SUITE A, LAWTON, OK 73505-6521
(580) 355-7474
(580) 355-6765
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
642
OK
Other
Enumeration date
05/18/2007
Last updated
07/08/2007
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