| Sackett Affiliates | |
|
1745 Saratoga Ave Suite 203 San Jose CA 95129-5201 | |
| (408) 257-6662 | |
| Not Available |
| Full Name | Sackett Affiliates |
|---|---|
| Speciality | Psychologist |
| Location | 1745 Saratoga Ave, San Jose, California |
| Authorized Official Name and Position | Brian Sackett (PRESIDENT/PSYCHOLOGIST) |
| Authorized Official Contact | 4082576662 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sackett Affiliates 1745 Saratoga Ave Suite 203 San Jose CA 95129-5201 Ph: (408) 257-6662 | Sackett Affiliates 1745 Saratoga Ave Suite 203 San Jose CA 95129-5201 Ph: (408) 257-6662 |
| NPI Number | 1376710871 |
|---|---|
| Provider Enumeration Date | 05/14/2008 |
| Last Update Date | 05/15/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376710871 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PSY18785 (California) | Primary |
| 106H00000X | Marriage & Family Therapist | 33627 (California) | Secondary |
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