Individual
SHARON LESLEY BURGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSC, MSC, PGDIP, PGC
Contact information
Practice address
1200 CENTRAL AVE, COLUMBUS, IN 47201-6001
(812) 376-4397
Mailing address
1200 CENTRAL AVE, COLUMBUS, IN 47201-6001
(812) 376-4397
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
15192091
IN
Other
Enumeration date
10/29/2024
Last updated
10/29/2024
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