Healthcare Provider Details

I. General information

NPI: 1306191887
Provider Name (Legal Business Name): SARAH A. LATESS PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/19/2012
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1215 O ST
SACRAMENTO CA
95814-5804
US

IV. Provider business mailing address

1215 O ST
SACRAMENTO CA
95814-5804
US

V. Phone/Fax

Practice location:
  • Phone: 916-654-2351
  • Fax:
Mailing address:
  • Phone: 916-654-2351
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY31320
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code103TF0200X
TaxonomyForensic Psychologist
License NumberPSY31320
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: