Sharon L Deberry, LMFT
Individual provider Active NPI Marriage & Family Therapist · Hattiesburg, MS
NPI 1740412428 · NPPES record last updated Aug 14, 2009
Key facts
- NPI
- 1740412428
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- T0038 (MS)
- Practice address
- 116 Northwest Cir
Hattiesburg, MS 39401-4512 - Phone
- (601) 705-1901
- NPI assigned
- Aug 14, 2009
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T0038 | MS | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | T0038 | MS | Yes |
Addresses
Primary practice location
116 Northwest Cir
Hattiesburg, MS 39401-4512
Mailing address
116 Northwest Cir
Hattiesburg, MS 39401-4512
Phone (601) 705-1901
Other providers in Hattiesburg, MS
- Regan Deal
- Stephen Lyle Dean
- Alix Dearing
- Barbarita Mabel Dearman
- James Devan Dearman
- Cliff D Dedeaux
- Justin Defee
- Gabrielle Degeorge
- Brooke Nicole Degheb
- Emily Delancey
All providers in Hattiesburg, MS · Marriage & Family Therapist in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 14, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.