Doctor Name: | MRS. SHARON LEE MENDENHALL |
NPI Number: | 1174718019 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW, CCBT, DAPA |
License Number: | 11568 |
Business Practice Address: | 301 E Combs Rd Queen Creek, AZ - 852409164 |
Business Phone Number: | 4809875300 |
Business Fax Number: | 4809875009 |
Mailing Address: | 301 E Combs Rd, QUEEN CREEK |
State: | AZ |
Postal Code: | 852409164 |
Phone Number: | 4809875300 |
Fax Number: | 4809875009 |
NPI Enumeration Date: | 09/13/2007 |
NPI Last Update Date: | 09/13/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 11568 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |