Provider Demographics
NPI:1770702607
Name:ZAUDERER, SHARON ANN (LPC, NCC, CEAP)
Entity type:Individual
Prefix:
First Name:SHARON
Middle Name:ANN
Last Name:ZAUDERER
Suffix:
Gender:F
Credentials:LPC, NCC, CEAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29919 EDGEWATER DR
Mailing Address - Street 2:
Mailing Address - City:MAGNOLIA
Mailing Address - State:TX
Mailing Address - Zip Code:77354-6242
Mailing Address - Country:US
Mailing Address - Phone:281-798-5564
Mailing Address - Fax:281-252-8988
Practice Address - Street 1:2202 TIMBERLOCH PL
Practice Address - Street 2:SUITE 120
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77380-1149
Practice Address - Country:US
Practice Address - Phone:281-798-5564
Practice Address - Fax:281-252-8988
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXLPC 12894101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health