Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | PY0604 | NV |
Y | 103TC0700X | Clinical Psychologist | PY0604 | NV |
NPI | 1003122979 |
---|---|
Provider Name | Sharon Jones-Forrester |
First Address | Las Vegas, NV 89101-6922 |
Second Address | Las Vegas, NV 89101-6922 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/08/2010 |
Last Update Date | 13/03/2019 |