Provider Demographics
NPI:1437251709
Name:SHARPE, DIANA B (PSYD)
Entity Type:Individual
Prefix:DR
First Name:DIANA
Middle Name:B
Last Name:SHARPE
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:425 FOXEN DR
Mailing Address - Street 2:SUITE A211
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93105-2510
Mailing Address - Country:US
Mailing Address - Phone:805-564-1178
Mailing Address - Fax:805-962-5909
Practice Address - Street 1:1214 MIRAMONTE DRIVE
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93109
Practice Address - Country:US
Practice Address - Phone:805-564-1178
Practice Address - Fax:805-564-1178
Is Sole Proprietor?:No
Enumeration Date:2006-09-05
Last Update Date:2016-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA16814103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical