Healthcare Provider Details

I. General information

NPI: 1033644976
Provider Name (Legal Business Name): CATHERINE SANAE SHEEHAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/28/2017
Last Update Date: 07/30/2024
Certification Date: 07/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

98 BOSWORTH ST
SAN FRANCISCO CA
94112-1002
US

IV. Provider business mailing address

98 BOSWORTH ST
SAN FRANCISCO CA
94112-1002
US

V. Phone/Fax

Practice location:
  • Phone: 415-551-0975
  • Fax:
Mailing address:
  • Phone: 415-551-0975
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number18580
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code225XM0800X
TaxonomyMental Health Occupational Therapist
License Number18580
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: