Provider Demographics
NPI:1598955833
Name:WOOD, SHARNA L (PHD)
Entity Type:Individual
Prefix:MRS
First Name:SHARNA
Middle Name:L
Last Name:WOOD
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:190 N RIDGEWAY DR
Mailing Address - Street 2:SUITE 101
Mailing Address - City:CLEBURNE
Mailing Address - State:TX
Mailing Address - Zip Code:76033-4191
Mailing Address - Country:US
Mailing Address - Phone:800-650-4990
Mailing Address - Fax:800-650-4990
Practice Address - Street 1:190 N. RIDGEWAY DR
Practice Address - Street 2:SUITE 101
Practice Address - City:CLEBURNE
Practice Address - State:TX
Practice Address - Zip Code:76033-4020
Practice Address - Country:US
Practice Address - Phone:800-650-4990
Practice Address - Fax:800-650-4990
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-01
Last Update Date:2010-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX32679103G00000X, 103T00000X, 103TB0200X, 103TC0700X, 103TR0400X
103TA0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist
No103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TA0700XBehavioral Health & Social Service ProvidersPsychologistAdult Development & Aging
No103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TR0400XBehavioral Health & Social Service ProvidersPsychologistRehabilitation