Provider Demographics
NPI:1437478427
Name:MOSLEY, SHARI LOUISE (MS, MFTI)
Entity type:Individual
Prefix:MS
First Name:SHARI
Middle Name:LOUISE
Last Name:MOSLEY
Suffix:
Gender:F
Credentials:MS, MFTI
Other - Prefix:MS
Other - First Name:SHARI
Other - Middle Name:LOUISE
Other - Last Name:MILLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMFT
Mailing Address - Street 1:1017 CHAPMAN ST
Mailing Address - Street 2:
Mailing Address - City:MANTECA
Mailing Address - State:CA
Mailing Address - Zip Code:95336-8826
Mailing Address - Country:US
Mailing Address - Phone:323-702-6212
Mailing Address - Fax:
Practice Address - Street 1:1017 CHAPMAN ST
Practice Address - Street 2:
Practice Address - City:MANTECA
Practice Address - State:CA
Practice Address - Zip Code:95336-8826
Practice Address - Country:US
Practice Address - Phone:323-702-6212
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-05-31
Last Update Date:2025-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA114176106H00000X
CA67472106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist