Individual
ANANYA SHARMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
901 MAPLE STREET, SUITES ON MAPLE, G31, INDIANA, PA 15701
(724) 357-2621
Mailing address
901 MAPLE STREET, INDIANA, PA 15701-2646
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
NA
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34128692
DRIVER'S LICENSE
PA
Enumeration date
08/24/2022
Last updated
01/24/2023
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