Provider Demographics
NPI:1679195150
Name:NAPA PSYCHOLOGICAL SERVICES
Entity type:Organization
Organization Name:NAPA PSYCHOLOGICAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SABINA
Authorized Official - Middle Name:
Authorized Official - Last Name:CORREA
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:707-266-6652
Mailing Address - Street 1:1290 JEFFERSON ST STE E
Mailing Address - Street 2:
Mailing Address - City:NAPA
Mailing Address - State:CA
Mailing Address - Zip Code:94559-2476
Mailing Address - Country:US
Mailing Address - Phone:707-266-6652
Mailing Address - Fax:
Practice Address - Street 1:1290 JEFFERSON ST STE E
Practice Address - Street 2:
Practice Address - City:NAPA
Practice Address - State:CA
Practice Address - Zip Code:94559-2476
Practice Address - Country:US
Practice Address - Phone:707-266-6652
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-07
Last Update Date:2020-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty