Individual
SHARON ANNE PUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, MP
Contact information
Practice address
5016 PHEASANT RUN, ALEXANDRIA, LA 71303-2450
(318) 308-1319
Mailing address
5016 PHEASANT RUN, ALEXANDRIA, LA 71303-2450
(318) 308-1319
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
906
LA
103TP0016X
Prescribing (Medical) Psychologist
MP0906
LA
103TP0016X
Prescribing (Medical) Psychologist
Primary
MPAP000034
LA
Other
Enumeration date
03/09/2006
Last updated
04/25/2017
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