Provider Demographics
NPI:1699450114
Name:SHARMA, MANINDER
Entity type:Individual
Prefix:MRS
First Name:MANINDER
Middle Name:
Last Name:SHARMA
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 1:13550 LAKEWOOD MEADOW DR
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-7409
Mailing Address - Country:US
Mailing Address - Phone:281-781-3901
Mailing Address - Fax:
Practice Address - Street 1:13550 LAKEWOOD MEADOW DR
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-7409
Practice Address - Country:US
Practice Address - Phone:281-781-3901
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-21
Last Update Date:2023-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TM1800XBehavioral Health & Social Service ProvidersPsychologistIntellectual & Developmental Disabilities
No103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist