Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | PSY16218 | CA |
NPI | 1013083948 |
---|---|
Provider Name | Ms. Juliana Beatriz Nunez-Saksa |
First Address | San Francisco, CA 94115-4110 |
Second Address | San Francisco, CA 94115-4110 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/11/2006 |
Last Update Date | 30/12/2021 |