Healthcare Provider Details

I. General information

NPI: 1447251384
Provider Name (Legal Business Name): WAYNE SATTEN PSY.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/02/2005
Last Update Date: 02/28/2020
Certification Date: 02/28/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5920 E PIMA ST STE 140
TUCSON AZ
85712-4380
US

IV. Provider business mailing address

PO BOX 43160
TUCSON AZ
85733-3160
US

V. Phone/Fax

Practice location:
  • Phone: 520-733-2524
  • Fax: 520-733-3444
Mailing address:
  • Phone: 520-733-2524
  • Fax: 520-733-3444

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number1503
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: