Provider Demographics
NPI:1609044031
Name:MCCARVER, SHARON DARLENE (PSYD)
Entity Type:Individual
Prefix:DR
First Name:SHARON
Middle Name:DARLENE
Last Name:MCCARVER
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 W AMERICAN CANYON RD
Mailing Address - Street 2:STE 508-291
Mailing Address - City:AMERICAN CANYON
Mailing Address - State:CA
Mailing Address - Zip Code:94503-1162
Mailing Address - Country:US
Mailing Address - Phone:707-334-1544
Mailing Address - Fax:707-455-6037
Practice Address - Street 1:181 COPPER WAY
Practice Address - Street 2:
Practice Address - City:VALLEJO
Practice Address - State:CA
Practice Address - Zip Code:94589-3811
Practice Address - Country:US
Practice Address - Phone:707-334-1544
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-19
Last Update Date:2020-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY 20289103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical