MEDICARE: SAARA MUSCAT PSYD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	PSY29659	CA

General Provider Information

NPI Number	:	1114431426
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAARA MUSCAT PSYD

Provider Business Mailing Address
First Line	:	48 HAIGHT ST APT 18
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94102-5852
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	55 NEW MONTGOMERY ST STE 512
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94105-3431
Country	:	US
Telephone Number	:	415-691-2867
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/22/2017
Last Update Date	:	11/22/2017

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