Provider Demographics
NPI:1053518704
Name:SATRE, HARMONY J (PSYD)
Entity type:Individual
Prefix:DR
First Name:HARMONY
Middle Name:J
Last Name:SATRE
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3144 W BELLTOWER DR
Mailing Address - Street 2:
Mailing Address - City:MERIDIAN
Mailing Address - State:ID
Mailing Address - Zip Code:83646-4882
Mailing Address - Country:US
Mailing Address - Phone:208-219-7790
Mailing Address - Fax:510-288-0444
Practice Address - Street 1:3144 W BELLTOWER DR
Practice Address - Street 2:
Practice Address - City:MERIDIAN
Practice Address - State:ID
Practice Address - Zip Code:83646-4882
Practice Address - Country:US
Practice Address - Phone:208-219-7790
Practice Address - Fax:510-288-0444
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-27
Last Update Date:2023-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY22871103T00000X, 103TC2200X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent