Sharon, Debra Melinda

Sharon, Debra Melinda is an individual health care provider with primary practice located at 6455 Coldwater Canyon Ave , North Hollywood CA 91606-1112. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Sharon, Debra Melinda can be contacted via phone (818) 623-6340.

Contact Information

Primary practice address
6455 Coldwater Canyon Ave North Hollywood CA 91606-1112
Fax: (818) 623-6390
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY 8908 California

Profile Details

NPI number 1104950286
LBN Legal business name Sharon, Debra Melinda
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104950286 NPPES
California Other PSIX 324 DMH STAFF NUMBER

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