Provider Demographics
NPI:1841688579
Name:SHARMA, GEETANJALI (PSYD)
Entity type:Individual
Prefix:DR
First Name:GEETANJALI
Middle Name:
Last Name:SHARMA
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2161 NW MILITARY HWY STE 207
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78213-1844
Mailing Address - Country:US
Mailing Address - Phone:210-447-6363
Mailing Address - Fax:210-447-6364
Practice Address - Street 1:2161 NW MILITARY HWY STE 207
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78213-1844
Practice Address - Country:US
Practice Address - Phone:210-447-6363
Practice Address - Fax:210-447-6364
Is Sole Proprietor?:No
Enumeration Date:2015-01-05
Last Update Date:2020-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
No103T00000XBehavioral Health & Social Service ProvidersPsychologist