Provider Demographics
NPI:1144230095
Name:KASHERSKY, LEONA SONJA (PSYD)
Entity Type:Individual
Prefix:DR
First Name:LEONA
Middle Name:SONJA
Last Name:KASHERSKY
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2710 X ST
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95818-2757
Mailing Address - Country:US
Mailing Address - Phone:916-595-7233
Mailing Address - Fax:916-453-9093
Practice Address - Street 1:2710 X ST
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95818-2757
Practice Address - Country:US
Practice Address - Phone:916-595-7233
Practice Address - Fax:916-453-9093
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2014-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY20662103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAEQ007AMedicare PIN