Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103TB0200X | Cognitive & Behavioral Psychologist | ||
N | 103TC1900X | Counseling Psychologist | ||
Y | 103TC2200X | Clinical Child & Adolescent Psychologist |
NPI | 1184187908 |
---|---|
Provider Name | Mrs. Sharon Liz Reed |
First Address | Palm Bay, FL 32909-1324 |
Second Address | Palm Bay, FL 32905-5161 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/04/2019 |
Last Update Date | 29/09/2021 |