Melissa Jane Sharp, Psy.D.
Specialist in St Charles, IL. Individual provider (NPI-1).
NPI number1174530497
StatusActive
Last updated in NPPESMar 12, 2020
Details
- NPI
- 1174530497
- Entity type
- Individual (NPI-1)
- Name
- Melissa Jane Sharp
- Credential
- Psy.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 1, 2006
- Certification date
- Mar 12, 2020
- Last updated
- Mar 12, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | 071006672 | IL | Yes |
Practice location
1434 E Main StSte B
St Charles, IL 60174
Phone 630-777-6333
Mailing address
1434 E Main StSte B
St Charles, IL 60174
Phone 630-777-6333
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