Healthcare Provider Details

I. General information

NPI: 1467407619
Provider Name (Legal Business Name): SHARON TINLEY MFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SAU SHEUNG LAW MFT

II. Dates (important events)

Enumeration Date: 05/24/2006
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 W LAS TUNAS DR STE A1 #2
SAN GABRIEL CA
91776-1201
US

IV. Provider business mailing address

301 W LAS TUNAS DR STE A1 #2
SAN GABRIEL CA
91776-1201
US

V. Phone/Fax

Practice location:
  • Phone: 626-757-2832
  • Fax: 213-839-6855
Mailing address:
  • Phone: 626-757-2832
  • Fax: 213-839-6855

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberLMFT40892
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: