Individual
SHARON E DEVINNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., HSPP
Contact information
Practice address
6910 NORTH MAIN STREET, BUILDING 13, SUITE 13L, GRANGER, IN 46530
(574) 286-0055
(574) 243-8011
Mailing address
6910 NORTH MAIN STREET, SUITE 13L, PO BOX 52, GRANGER, IN 46530-0052
(574) 286-0055
(574) 243-8014
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
20040792
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200008740A
—
IN
Enumeration date
02/28/2006
Last updated
08/28/2018
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