Provider Demographics
NPI:1932288842
Name:DOLAN, SHARLEEN MARY O'BRIEN (PSYD)
Entity Type:Individual
Prefix:DR
First Name:SHARLEEN
Middle Name:MARY O'BRIEN
Last Name:DOLAN
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 1:2565 PUESTA DEL SOL
Mailing Address - Street 2:SUITE 204
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93105-2936
Mailing Address - Country:US
Mailing Address - Phone:805-899-1756
Mailing Address - Fax:805-687-0507
Practice Address - Street 1:2565 PUESTA DEL SOL
Practice Address - Street 2:SUITE 204
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93105-2936
Practice Address - Country:US
Practice Address - Phone:805-899-1756
Practice Address - Fax:805-687-0507
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20314103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical