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NPI Code Detail

MEDICARE: MS. SHARON KAY SHAW LMFT

MEDICARE:  MS. SHARON KAY SHAW  LMFT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist25158CA

General Provider Information

NPI Number : 1619185881
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SHARON KAY SHAW LMFT
Provider Business Mailing Address
First Line : 4523 WOODMAN AVE
Second Line : #108
City : SHERMAN OAKS
State : CA
Zip : 91423-3060
Country : US
Telephone Number : 818-907-7229
Fax Number :
Provider Business Practice Location Address
First Line : 329 N WETHERLY DR
Second Line : 204
City : BEVERLY HILLS
State : CA
Zip : 90211-1605
Country : US
Telephone Number : 310-274-5747
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2007
Last Update Date : 07/08/2007

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Directions to “ MS. SHARON KAY SHAW LMFT” Practice Location

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