Provider Demographics
NPI:1457583676
Name:ANDREWS, SHARON ALYCE (MS)
Entity Type:Individual
Prefix:MRS
First Name:SHARON
Middle Name:ALYCE
Last Name:ANDREWS
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2401 SHADY WILLOW LN
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:94513-5330
Mailing Address - Country:US
Mailing Address - Phone:925-516-0653
Mailing Address - Fax:
Practice Address - Street 1:2401 SHADY WILLOW LN
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:CA
Practice Address - Zip Code:94513-5330
Practice Address - Country:US
Practice Address - Phone:925-516-0653
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-20
Last Update Date:2009-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 46585106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist