Provider Demographics
NPI:1770841439
Name:SHARMA, MANINDER BEDI (MS, LPC, CAS, NBCC)
Entity Type:Individual
Prefix:MRS
First Name:MANINDER
Middle Name:BEDI
Last Name:SHARMA
Suffix:
Gender:F
Credentials:MS, LPC, CAS, NBCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PSC 303 BOX 48
Mailing Address - Street 2:
Mailing Address - City:APO
Mailing Address - State:AP
Mailing Address - Zip Code:96205
Mailing Address - Country:US
Mailing Address - Phone:8227-918-6815
Mailing Address - Fax:
Practice Address - Street 1:PSC 303 BOX 48
Practice Address - Street 2:
Practice Address - City:APO
Practice Address - State:AP
Practice Address - Zip Code:96204-3048
Practice Address - Country:US
Practice Address - Phone:8227-918-6815
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-01
Last Update Date:2012-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC004976101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional