Healthcare Provider Details

I. General information

NPI: 1144002379
Provider Name (Legal Business Name): ALISHA P SAXENA PSYD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/23/2023
Last Update Date: 02/16/2024
Certification Date: 02/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2108 N ST STE N
SACRAMENTO CA
95816-5712
US

IV. Provider business mailing address

PO BOX 14484
SAN FRANCISCO CA
94114-0484
US

V. Phone/Fax

Practice location:
  • Phone: 415-212-8714
  • Fax:
Mailing address:
  • Phone: 650-427-0672
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY34306
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: