Provider Demographics
NPI:1013211671
Name:SAPERSTEIN, DANA PAUL (PHD)
Entity Type:Individual
Prefix:DR
First Name:DANA
Middle Name:PAUL
Last Name:SAPERSTEIN
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2417 CALLE ALMONTE
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93109-1121
Mailing Address - Country:US
Mailing Address - Phone:805-962-1212
Mailing Address - Fax:
Practice Address - Street 1:2417 CALLE ALMONTE
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93109-1121
Practice Address - Country:US
Practice Address - Phone:805-962-1212
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-22
Last Update Date:2010-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY15362103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical