Healthcare Provider Details

I. General information

NPI: 1548349509
Provider Name (Legal Business Name): SACHI INOUE PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/02/2006
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 CLEMENT ST
SAN FRANCISCO CA
94118-2206
US

IV. Provider business mailing address

601 CLEMENT ST
SAN FRANCISCO CA
94118-2206
US

V. Phone/Fax

Practice location:
  • Phone: 415-668-5955
  • Fax: 415-668-0246
Mailing address:
  • Phone: 415-668-5955
  • Fax: 415-668-0246

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPSY16879
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: