Provider Demographics
NPI:1588839385
Name:PATTERSON MAYS, SHARON ELAINE
Entity Type:Individual
Prefix:MRS
First Name:SHARON
Middle Name:ELAINE
Last Name:PATTERSON MAYS
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 1:151 E CANAL DR
Mailing Address - Street 2:
Mailing Address - City:TURLOCK
Mailing Address - State:CA
Mailing Address - Zip Code:95380-3901
Mailing Address - Country:US
Mailing Address - Phone:209-669-2577
Mailing Address - Fax:209-669-2593
Practice Address - Street 1:151 E CANAL DR
Practice Address - Street 2:
Practice Address - City:TURLOCK
Practice Address - State:CA
Practice Address - Zip Code:95380-3901
Practice Address - Country:US
Practice Address - Phone:209-669-2577
Practice Address - Fax:209-669-2593
Is Sole Proprietor?:No
Enumeration Date:2008-04-23
Last Update Date:2019-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA112919106H00000X
CAIMF 85770101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist