Doctor Name: | DR. SHARON ANNE STEIN MCNAMARA |
NPI Number: | 1194849414 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ED.D. |
License Number: | LP2991 |
Business Practice Address: | 521 Tanglewood Dr Shoreview, MN - 551262016 |
Business Phone Number: | 6516981799 |
Business Fax Number: | 6514813209 |
Mailing Address: | 5563 Park Place Dr, SHOREVIEW |
State: | MN |
Postal Code: | 551269126 |
Phone Number: | 6516981799 |
Fax Number: | 6514813209 |
NPI Enumeration Date: | 03/19/2007 |
NPI Last Update Date: | 01/25/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TA0400X |
License Number: | LP2991 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |