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NPI Code Detail

MEDICARE: DR. SHARA LYNNE CABREROS ED.D., ED.S.

MEDICARE: DR. SHARA LYNNE CABREROS ED.D., ED.S.
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
1101YS0200XSchool CounselorCA
2103TS0200XSchool PsychologistCA

General Provider Information

NPI Number : 1760248371
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SHARA LYNNE CABREROS ED.D., ED.S.
Provider Business Mailing Address
First Line : 2401 E BARISTO RD
Second Line :
City : PALM SPRINGS
State : CA
Zip : 92262-7127
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2401 E BARISTO RD
Second Line :
City : PALM SPRINGS
State : CA
Zip : 92262-7127
Country : US
Telephone Number : 760-778-0422
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/22/2024
Last Update Date : 02/22/2024

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