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NPI Code Detail

MEDICARE: PRACHI SHARMA PSYD

MEDICARE: PRACHI SHARMA PSYD
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
1103T00000XPsychologist38386TX

General Provider Information

NPI Number : 1013144252
Entity Type Code : Individual
Provider Name (Legal Business Name) : PRACHI SHARMA PSYD
Provider Business Mailing Address
First Line : 12720 HILLCREST RD STE 106
Second Line :
City : DALLAS
State : TX
Zip : 75230-7121
Country : US
Telephone Number : 469-251-4646
Fax Number :
Provider Business Practice Location Address
First Line : 12720 HILLCREST RD STE 106
Second Line :
City : DALLAS
State : TX
Zip : 75230-7121
Country : US
Telephone Number : 469-251-4646
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2009
Last Update Date : 10/25/2023

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Directions to “ PRACHI SHARMA PSYD” Practice Location

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