Healthcare Provider Details

I. General information

NPI: 1518027325
Provider Name (Legal Business Name): SHARIF OKASHA PSY.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/11/2006
Last Update Date: 07/20/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1865 UNION ST
SAN FRANCISCO CA
94123-4307
US

IV. Provider business mailing address

1865 UNION ST
SAN FRANCISCO CA
94123-4307
US

V. Phone/Fax

Practice location:
  • Phone: 415-515-1681
  • Fax:
Mailing address:
  • Phone: 415-515-1681
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY#22272
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: