Provider Demographics
NPI:1841406865
Name:HATHERLEY, SHARON H (PHD)
Entity type:Individual
Prefix:DR
First Name:SHARON
Middle Name:H
Last Name:HATHERLEY
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:221 N JOHNSON ST
Mailing Address - Street 2:
Mailing Address - City:VISALIA
Mailing Address - State:CA
Mailing Address - Zip Code:93291-6043
Mailing Address - Country:US
Mailing Address - Phone:559-734-7371
Mailing Address - Fax:559-627-3829
Practice Address - Street 1:221 N JOHNSON ST
Practice Address - Street 2:
Practice Address - City:VISALIA
Practice Address - State:CA
Practice Address - Zip Code:93291-6043
Practice Address - Country:US
Practice Address - Phone:559-734-7371
Practice Address - Fax:559-627-3829
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY9516103TB0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral