Provider Demographics
NPI:1255471314
Name:SAUM, PAULETTE
Entity Type:Individual
Prefix:
First Name:PAULETTE
Middle Name:
Last Name:SAUM
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2010 SIERRA RD APT 12
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:CA
Mailing Address - Zip Code:94518-2981
Mailing Address - Country:US
Mailing Address - Phone:510-374-7500
Mailing Address - Fax:510-374-7504
Practice Address - Street 1:2010 SIERRA RD APT 12
Practice Address - Street 2:2523 EL PORTAL DR. STE. #103 SAN PABLO, CA. #94806
Practice Address - City:CONCORD
Practice Address - State:CA
Practice Address - Zip Code:94518-2981
Practice Address - Country:US
Practice Address - Phone:510-374-7500
Practice Address - Fax:510-374-7504
Is Sole Proprietor?:No
Enumeration Date:2007-02-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CARO867629OtherDR. LIC.