Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 019776 | NY |
Y | 103TC0700X | Clinical Psychologist | 019776 | NY |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | 019776 | NY |
NPI | 1083063291 |
---|---|
Provider Name | Raykha Sharma |
First Address | Brooklyn, NY 11242-0103 |
Second Address | Brooklyn, NY 11242-0103 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/06/2016 |
Last Update Date | 08/06/2016 |