Provider Demographics
NPI:1497221451
Name:ROBB, SHARA (BA)
Entity Type:Individual
Prefix:MRS
First Name:SHARA
Middle Name:
Last Name:ROBB
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:509 BARRET AVE
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40204-1139
Mailing Address - Country:US
Mailing Address - Phone:502-271-8260
Mailing Address - Fax:
Practice Address - Street 1:509 BARRET AVE
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40204-1139
Practice Address - Country:US
Practice Address - Phone:502-271-8260
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-17
Last Update Date:2018-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management