Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | PSY31563 | CA |
Y | 103TC0700X | Clinical Psychologist | PSY31563 | CA |
NPI | 1003369463 |
---|---|
Provider Name | Dr. Sharon A Humphrey |
First Address | Palo Alto, CA 94306-0803 |
Second Address | San Mateo, CA 94402-3140 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/08/2016 |
Last Update Date | 04/05/2021 |