Sharon Louise Dolezal | Camarillo, CA • PECOS Search

Sharon Louise Dolezal

Psychologist

Behavioral Health & Social Service Providers

751 E Daily Dr Ste 120, Camarillo, CA 93010-6004

PECOS Enrollment

Based on the most recent information from CMS, provider Sharon Louise Dolezal does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 5 days ago.

Profile Details

Provider ID
1104587450
Provider Type
Individual
Full Name
Dolezal, Sharon Louise
Title
Dr.
Credential
PHD

Gender
Female
Sole Proprietor
Yes
Enumeration Date
1/7/2022
Last Updated
1/7/2022

Contact Information

Practice Location

751 E Daily Dr Ste 120, Camarillo, CA 93010-6004

Unlisted Fax

Mailing Location

1950 Freeborn Way, Santa Rosa Valley, CA 93012-9270

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 103TC0700X Primary	Description Psychologist Behavioral Health & Social Service Providers	License PSY11405 California