Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 32679 | TX |
Y | 103TC0700X | Clinical Psychologist | 32679 | TX |
N | 102L00000X | Psychologist | 32679 | TX |
N | 103T00000X | Psychologist | 32679 | TX |
N | 103TA0700X | Adult Development & Aging Psychologist | ||
N | 103TB0200X | Cognitive & Behavioral Psychologist | 32679 | TX |
N | 103G00000X | Clinical Psychologist | 32679 | TX |
N | 103TC0700X | Clinical Psychologist | 32679 | TX |
N | 103TR0400X | Rehabilitation Psychologist | 32679 | TX |
NPI | 1598955833 |
---|---|
Provider Name | Mrs. Sharna L Wood |
First Address | Cleburne, TX 76033-4191 |
Second Address | Cleburne, TX 76033-4020 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/08/2007 |
Last Update Date | 07/03/2010 |