Provider Demographics
NPI:1407227168
Name:NATT, SHARON
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:
Last Name:NATT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2404 FERRAND ST
Mailing Address - Street 2:SUITE 23
Mailing Address - City:MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71201-3234
Mailing Address - Country:US
Mailing Address - Phone:318-323-0463
Mailing Address - Fax:318-323-0465
Practice Address - Street 1:2404 FERRAND ST
Practice Address - Street 2:SUITE 23
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71201-3234
Practice Address - Country:US
Practice Address - Phone:318-323-0463
Practice Address - Fax:318-323-0465
Is Sole Proprietor?:No
Enumeration Date:2015-10-07
Last Update Date:2015-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst