Provider Demographics
NPI:1942431226
Name:SHARRON, ANNA CAROL (MS,CCC/A)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:CAROL
Last Name:SHARRON
Suffix:
Gender:F
Credentials:MS,CCC/A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:807 W GLENWOOD BLVD
Mailing Address - Street 2:
Mailing Address - City:TYLER
Mailing Address - State:TX
Mailing Address - Zip Code:75701-3929
Mailing Address - Country:US
Mailing Address - Phone:903-262-1032
Mailing Address - Fax:903-262-1165
Practice Address - Street 1:807 W GLENWOOD BLVD
Practice Address - Street 2:
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75701-3929
Practice Address - Country:US
Practice Address - Phone:903-262-1032
Practice Address - Fax:903-262-1165
Is Sole Proprietor?:No
Enumeration Date:2009-08-04
Last Update Date:2009-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX50557237600000X, 237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
No237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist