Provider Demographics
NPI:1548068240
Name:ELDREDGE, SHARLENE M (PPS)
Entity type:Individual
Prefix:MRS
First Name:SHARLENE
Middle Name:M
Last Name:ELDREDGE
Suffix:
Gender:F
Credentials:PPS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:510 G ST
Mailing Address - Street 2:
Mailing Address - City:ANTIOCH
Mailing Address - State:CA
Mailing Address - Zip Code:94509-1259
Mailing Address - Country:US
Mailing Address - Phone:925-779-7500
Mailing Address - Fax:
Practice Address - Street 1:510 G ST
Practice Address - Street 2:
Practice Address - City:ANTIOCH
Practice Address - State:CA
Practice Address - Zip Code:94509-1259
Practice Address - Country:US
Practice Address - Phone:925-779-7500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-06
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool