Healthcare Provider Details

I. General information

NPI: 1427968361
Provider Name (Legal Business Name): SHARON YVONNE WILLIAMS LEP 3496
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/11/2026
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8704 S 3RD AVE
INGLEWOOD CA
90305-2502
US

IV. Provider business mailing address

8704 S 3RD AVE
INGLEWOOD CA
90305-2502
US

V. Phone/Fax

Practice location:
  • Phone: 310-703-7072
  • Fax:
Mailing address:
  • Phone: 310-703-7072
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number3496
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License Number3496
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: