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NPI Code Detail

MEDICARE: SARAH COWLES SHARBAUGH DELCREW MA

MEDICARE: SARAH COWLES SHARBAUGH DELCREW MA
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
1106H00000XMarriage & Family Therapist47587CA

General Provider Information

NPI Number : 1518017375
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH COWLES SHARBAUGH DELCREW MA
Provider Business Mailing Address
First Line : 2059 PENTUCKETT AVE
Second Line :
City : SAN DIEGO
State : CA
Zip : 92104-5733
Country : US
Telephone Number : 619-204-4540
Fax Number :
Provider Business Practice Location Address
First Line : 5650 MOUNT ACKERLY DR
Second Line :
City : SAN DIEGO
State : CA
Zip : 92111-4016
Country : US
Telephone Number : 858-496-8205
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/11/2007
Last Update Date : 08/30/2013

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Directions to “ SARAH COWLES SHARBAUGH DELCREW MA” Practice Location

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