Provider Demographics
NPI:1750643631
Name:GERMANY, SHARON D
Entity type:Individual
Prefix:MS
First Name:SHARON
Middle Name:D
Last Name:GERMANY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3401 HILLSIDE DR
Mailing Address - Street 2:
Mailing Address - City:DEL CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73115-1741
Mailing Address - Country:US
Mailing Address - Phone:405-818-7513
Mailing Address - Fax:405-619-9320
Practice Address - Street 1:3401 HILLSIDE DR
Practice Address - Street 2:
Practice Address - City:DEL CITY
Practice Address - State:OK
Practice Address - Zip Code:73115-1741
Practice Address - Country:US
Practice Address - Phone:405-818-7513
Practice Address - Fax:405-619-9320
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-15
Last Update Date:2012-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst