| Sage Educational Psychology Inc | |
|
350 College Ave Ste 101 Santa Rosa CA 95401-5125 | |
| (707) 852-1630 | |
| Not Available |
| Full Name | Sage Educational Psychology Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 350 College Ave Ste 101, Santa Rosa, California |
| Authorized Official Name and Position | Julia Vander Vennet (CEO) |
| Authorized Official Contact | 7078521630 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sage Educational Psychology Inc 5247 Beaumont Way Santa Rosa CA 95409-2811 Ph: () - | Sage Educational Psychology Inc 350 College Ave Ste 101 Santa Rosa CA 95401-5125 Ph: (707) 852-1630 |
| NPI Number | 1275355901 |
|---|---|
| Provider Enumeration Date | 10/24/2024 |
| Last Update Date | 10/24/2024 |
| Certification Date | 10/24/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275355901 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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