Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 102L00000X | Psychologist | PSY22871 | CA |
N | 103T00000X | Psychologist | PSY22871 | CA |
Y | 103G00000X | Clinical Psychologist | PSY22871 | CA |
Y | 103TC0700X | Clinical Psychologist | PSY22871 | CA |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | PSY22871 | CA |
NPI | 1053518704 |
---|---|
Provider Name | Dr. Harmony J. Satre |
First Address | Oakland, CA 94611-5670 |
Second Address | Oakland, CA 94611-5670 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2007 |
Last Update Date | 10/09/2010 |