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NPI 1194726729

NPI 1194726729 : SHARON M BERLINER PHD PC : HOUSTON, TX

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General NPI Number Information
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    NPI Number           |    1194726729
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    Entity Type          |    Organization 
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    Legal Business Name  |    SHARON M BERLINER PHD PC 
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Dates
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    Enumeration Date     |    08/04/2005
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    Last Update Date     |    01/02/2008
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Provider Practice Location Address
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    Address Line         |    14355-E TORREY CHASE BLVD 
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77014-1658
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    Country              |    US
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    Telephone            |    281-440-5954
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    Fax                  |    281-440-5956
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Provider Business Mailing Address
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    Address Line         |    14355-E TORREY CHASE BLVD 
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77014-1658
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    Country              |    US
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    Telephone            |    281-440-5954
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    Fax                  |    281-440-5956
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Authorized Official
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    Title or Position    |    CLINICAL PSYCHOLOGIST
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    Name                 |    DR. SHARON M BERLINER 
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    Credential           |    PHD
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    Telephone            |    281-440-5954
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    103TC0700X
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    Taxonomy Name        |    Clinical Psychologist
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    License Number       |    21297
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    License Number State |    TX
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