Provider Demographics
NPI:1700458734
Name:SHARMA, TANIA (PHD, CRC)
Entity Type:Individual
Prefix:DR
First Name:TANIA
Middle Name:
Last Name:SHARMA
Suffix:
Gender:F
Credentials:PHD, CRC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10201 MICHEL PLACE
Mailing Address - Street 2:
Mailing Address - City:SURREY
Mailing Address - State:BRITISH COLUMBIA
Mailing Address - Zip Code:V3T 3R1
Mailing Address - Country:CA
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:10201 MICHEL PLACE
Practice Address - Street 2:
Practice Address - City:SURREY
Practice Address - State:BRITISH COLUMBIA
Practice Address - Zip Code:V3T 3R1
Practice Address - Country:CA
Practice Address - Phone:716-545-6908
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-09
Last Update Date:2021-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ35SI00603100103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling