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Individual

DR. SHARON R WARREN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D., HSPP

Contact information

Practice address
148 SAGAMORE PKWY W, WEST LAFAYETTE, IN 47906-1569
(765) 884-1506
(765) 295-7962
Mailing address
148 SAGAMORE PKWY W, WEST LAFAYETTE, IN 47906-1569
(765) 884-1506
(765) 295-7962

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20041072A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
35-2147312
IN
Enumeration date
10/17/2006
Last updated
05/17/2025
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