1578563268 NPI number — MR. HOWARD LYNN SATTLER MS MA LMFT

Table of content: MR. HOWARD LYNN SATTLER MS MA LMFT (NPI 1578563268)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1578563268 NPI number — MR. HOWARD LYNN SATTLER MS MA LMFT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SATTLER
Provider First Name:
HOWARD
Provider Middle Name:
LYNN
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
MS MA LMFT
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1578563268
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2244 LAKESHORE AVE
Provider Second Line Business Mailing Address:
STE 5
Provider Business Mailing Address City Name:
OAKLAND
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
94606
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
510-836-8967
Provider Business Mailing Address Fax Number:
925-215-5646

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
23 ALTARINDA RD
Provider Second Line Business Practice Location Address:
STE 102
Provider Business Practice Location Address City Name:
ORINDA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94563
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
925-215-5646
Provider Business Practice Location Address Fax Number:
925-215-5646
Provider Enumeration Date:
07/26/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 106H00000X , with the licence number:  MFT30198 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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