Provider Demographics
NPI:1902928088
Name:TESTA-HARKER, SHARON PATRICIA (MS)
Entity type:Individual
Prefix:MRS
First Name:SHARON
Middle Name:PATRICIA
Last Name:TESTA-HARKER
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3030 ASHBY AVE
Mailing Address - Street 2:STE. 111A
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94705-2439
Mailing Address - Country:US
Mailing Address - Phone:510-655-3289
Mailing Address - Fax:510-658-4914
Practice Address - Street 1:3030 ASHBY AVE
Practice Address - Street 2:STE. 111A
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94705-2439
Practice Address - Country:US
Practice Address - Phone:510-655-3289
Practice Address - Fax:510-658-4914
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC29310106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist