Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | PY9215 | FL |
Y | 103TC0700X | Clinical Psychologist | PY9215 | FL |
N | 102L00000X | Psychologist | PY9215 | FL |
N | 103T00000X | Psychologist | PY9215 | FL |
N | 103TA0700X | Adult Development & Aging Psychologist | PY9215 | FL |
N | 103TB0200X | Cognitive & Behavioral Psychologist | PY9215 | FL |
N | 103G00000X | Clinical Psychologist | PY9215 | FL |
N | 103TC0700X | Clinical Psychologist | PY9215 | FL |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | PY9215 | FL |
N | 103TF0000X | Family Psychologist | PY9215 | FL |
N | 103TH0004X | Health Psychologist | PY9215 | FL |
N | 103TH0100X | Health Service | PY9215 | FL |
N | 103TM1800X | Intellectual & Developmental Disabilities | PY9215 | FL |
N | 103TR0400X | Rehabilitation Psychologist | PY9215 | FL |
NPI | 1528432044 |
---|---|
Provider Name | Dr. Sharlet Anderson |
First Address | Chicago, IL 60612 |
Second Address | Chicago, IL 60612-3841 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/11/2015 |
Last Update Date | 20/11/2015 |