Doctor Name: | SHARRON L REX |
NPI Number: | 1124285036 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHD |
License Number: | PS006295L |
Business Practice Address: | 1664 Dekalb Pike Blue Bell, PA - 194223350 |
Business Phone Number: | 6102779555 |
Business Fax Number: | 6102771651 |
Mailing Address: | 1664 Dekalb Pike, BLUE BELL |
State: | PA |
Postal Code: | 194223350 |
Phone Number: | 6102779555 |
Fax Number: | 6102771651 |
NPI Enumeration Date: | 05/19/2008 |
NPI Last Update Date: | 05/19/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | PS006295L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |