Healthcare Provider Details

I. General information

NPI: 1962243428
Provider Name (Legal Business Name): RADHIKA RANI SHARMA AMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/06/2024
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9370 STUDIO CT STE 100A
ELK GROVE CA
95758-8047
US

IV. Provider business mailing address

9370 STUDIO CT STE 100A
ELK GROVE CA
95758-8047
US

V. Phone/Fax

Practice location:
  • Phone: 916-582-7453
  • Fax: 916-582-3842
Mailing address:
  • Phone: 916-582-7453
  • Fax: 916-582-3842

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number161760
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: