Doctor Name: | MS. SHARON LYNN BULLARD |
NPI Number: | 1497754840 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSSW |
License Number: | 5089 |
Business Practice Address: | 1601 Harmon Ave Wach-behavioral Health Clinic Ft Stewart, GA - 313145844 |
Business Phone Number: | 9127671647 |
Business Fax Number: | 9127673507 |
Mailing Address: | 1061 Harmon Ave Ste 1d03, Wach-winn Army Community Hospi FORT STEWART |
State: | GA |
Postal Code: | 313145641 |
Phone Number: | 9127671647 |
Fax Number: | 9127673507 |
NPI Enumeration Date: | 07/19/2005 |
NPI Last Update Date: | 01/25/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 5089 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |