Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | 32023 | TX |
Y | 103T00000X | Psychologist | 32023 | TX |
NPI | 1003351180 |
---|---|
Provider Name | Dr. Theresa Marie Sharpe |
First Address | Corpus Christi, TX 78413-5376 |
Second Address | Corpus Christi, TX 78413-5376 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/12/2016 |
Last Update Date | 28/12/2016 |