Provider Demographics
NPI:1346274818
Name:SHARP, JOHN F (EDD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:F
Last Name:SHARP
Suffix:
Gender:M
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:303 N ALABAMA ST
Mailing Address - Street 2:SUITE #320
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46204-2037
Mailing Address - Country:US
Mailing Address - Phone:317-752-4873
Mailing Address - Fax:
Practice Address - Street 1:303 N ALABAMA ST
Practice Address - Street 2:SUITE #320
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46204-2037
Practice Address - Country:US
Practice Address - Phone:317-752-4873
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-10
Last Update Date:2011-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN20040066A103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist