| Doctor Name: | DR. CONSTANCE B. SHARP |
| NPI Number: | 1245497411 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D. |
| License Number: | PSYC.PY.60043856 |
| Business Practice Address: | 2120 Ryan Rd Buckley, WA - 983219115 |
| Business Phone Number: | 3608294883 |
| Business Fax Number: | |
| Mailing Address: | 12430 Lakeland Ave Sw, LAKEWOOD |
| State: | WA |
| Postal Code: | 984985205 |
| Phone Number: | 3608294883 |
| Fax Number: | |
| NPI Enumeration Date: | 05/16/2008 |
| NPI Last Update Date: | 10/21/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC1900X |
| License Number: | PSYC.PY.60043856 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Counseling |
| Taxonomy Definition: | |