Individual
DR. POONAM SHARMA
Active
Individual
DR. POONAM SHARMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
25365
TX
103TA0700X
Adult Development & Aging Psychologist
25365
TX
103TB0200X
Cognitive & Behavioral Psychologist
25365
TX
103TC0700X
Clinical Psychologist
Primary
25365
TX
103TC1900X
Counseling Psychologist
25365
TX
103TC2200X
Clinical Child & Adolescent Psychologist
25365
TX
103TF0000X
Family Psychologist
25365
TX
103TH0100X
Health Service Psychologist
25365
TX
103TP2701X
Group Psychotherapy Psychologist
25365
TX
103TR0400X
Rehabilitation Psychologist
25365
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0078JB
BLUE CROSS BLUE SHIELD
TX
05
—
031010401
—
TX
01
—
264875
COMPSYCH
TX
01
—
465919
VALUE OPTIONS
TX
Enumeration date
04/04/2006
Last updated
07/01/2019
Update your record
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