Provider Demographics
NPI:1225348139
Name:SASO, PATRICIA SLOVIK (MS)
Entity Type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:SLOVIK
Last Name:SASO
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:514 PRADA DR
Mailing Address - Street 2:
Mailing Address - City:MILPITAS
Mailing Address - State:CA
Mailing Address - Zip Code:95035-4025
Mailing Address - Country:US
Mailing Address - Phone:408-262-6837
Mailing Address - Fax:
Practice Address - Street 1:1313 N MILPITAS BLVD STE 141
Practice Address - Street 2:
Practice Address - City:MILPITAS
Practice Address - State:CA
Practice Address - Zip Code:95035-3192
Practice Address - Country:US
Practice Address - Phone:408-262-6837
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-13
Last Update Date:2010-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC31091106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist