Provider Demographics
NPI:1790911451
Name:GRAND, SHARON ANN
Entity Type:Individual
Prefix:MRS
First Name:SHARON
Middle Name:ANN
Last Name:GRAND
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 1:2273 FALKIRK DR
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80910-3266
Mailing Address - Country:US
Mailing Address - Phone:254-681-5483
Mailing Address - Fax:
Practice Address - Street 1:2273 FALKIRK DR
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80910-3266
Practice Address - Country:US
Practice Address - Phone:254-681-5483
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-08
Last Update Date:2009-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health