Doctor Name: | SHARI G BRONSKY |
NPI Number: | 1386604890 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PSY.D. |
License Number: | PS00984 |
Business Practice Address: | 4102 Pinion Dr Usaf Academy, CO - 808402502 |
Business Phone Number: | 7193335178 |
Business Fax Number: | |
Mailing Address: | 4102 Pinion Dr, USAF ACADEMY |
State: | CO |
Postal Code: | 808402502 |
Phone Number: | 7193335178 |
Fax Number: | |
NPI Enumeration Date: | 03/27/2006 |
NPI Last Update Date: | 01/23/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | PS00984 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | RI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |