Healthcare Provider Details

I. General information

NPI: 1407015167
Provider Name (Legal Business Name): PETER C SAYER PSY.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/06/2008
Last Update Date: 06/18/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5905 LAKE EARL DR
CRESCENT CITY CA
95532-0001
US

IV. Provider business mailing address

5905 LAKE EARL DR
CRESCENT CITY CA
95532-0001
US

V. Phone/Fax

Practice location:
  • Phone: 707-465-1000
  • Fax:
Mailing address:
  • Phone: 707-465-1000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY20592
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: