Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | PSY5449 | CA |
Y | 103T00000X | Psychologist | PSY5449 | CA |
NPI | 1013052810 |
---|---|
Provider Name | Dr. Sharon Churnin Nash |
First Address | Los Altos, CA 94022-1373 |
Second Address | Los Altos, CA 94022-1373 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/02/2007 |
Last Update Date | 08/07/2007 |