Provider Demographics
NPI:1750042834
Name:ANDERSON, SHARRIA (PSYD)
Entity Type:Individual
Prefix:DR
First Name:SHARRIA
Middle Name:
Last Name:ANDERSON
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 1:3115 AVONDALE PT
Mailing Address - Street 2:
Mailing Address - City:POWDER SPRINGS
Mailing Address - State:GA
Mailing Address - Zip Code:30127-5093
Mailing Address - Country:US
Mailing Address - Phone:305-319-9837
Mailing Address - Fax:
Practice Address - Street 1:6055 WEDGEWOOD DR SE
Practice Address - Street 2:
Practice Address - City:MABLETON
Practice Address - State:GA
Practice Address - Zip Code:30126-4420
Practice Address - Country:US
Practice Address - Phone:305-319-9837
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-31
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist