Provider Demographics
NPI:1386717239
Name:SHARON, JAMES ALLEN
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:ALLEN
Last Name:SHARON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6162 S KEARNEY ST
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80111-4235
Mailing Address - Country:US
Mailing Address - Phone:303-796-7004
Mailing Address - Fax:303-796-0181
Practice Address - Street 1:6162 S KEARNEY ST
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80111-4235
Practice Address - Country:US
Practice Address - Phone:303-796-7004
Practice Address - Fax:303-796-0181
Is Sole Proprietor?:No
Enumeration Date:2006-11-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1348174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
1348OtherCO PSYCHOLOGIST LICENSE #