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NPI Code Detail

MEDICARE: SHARON B. UY LMFT

MEDICARE: SHARON B. UY LMFT
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
1390200000XStudent in an Organized Health Care Education/Training Program
2106H00000XMarriage & Family Therapist113109CA

General Provider Information

NPI Number : 1710383583
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHARON B. UY LMFT
Provider Business Mailing Address
First Line : 4774 PARK GRANADA STE 10
Second Line :
City : CALABASAS
State : CA
Zip : 91302-1550
Country : US
Telephone Number : 818-860-1569
Fax Number :
Provider Business Practice Location Address
First Line : 14724 VENTURA BLVD STE 1000
Second Line :
City : SHERMAN OAKS
State : CA
Zip : 91403-3510
Country : US
Telephone Number : 818-860-1569
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/06/2014
Last Update Date : 03/01/2021

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