Provider Demographics
NPI:1467407619
Name:TINLEY, SHARON (MFT)
Entity Type:Individual
Prefix:MS
First Name:SHARON
Middle Name:
Last Name:TINLEY
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:MS
Other - First Name:SAU
Other - Middle Name:SHEUNG
Other - Last Name:LAW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MFT
Mailing Address - Street 1:1718 MERIDIAN AVE APT C
Mailing Address - Street 2:
Mailing Address - City:SOUTH PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91030-5514
Mailing Address - Country:US
Mailing Address - Phone:626-757-2832
Mailing Address - Fax:213-839-6855
Practice Address - Street 1:1605 HOPE ST STE 300
Practice Address - Street 2:
Practice Address - City:S PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91030-2655
Practice Address - Country:US
Practice Address - Phone:626-757-2832
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-24
Last Update Date:2022-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT40892106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist