Provider Demographics
NPI:1437580248
Name:SANGHVI, SARI ANN LEIVENT (PHD, LEP)
Entity Type:Individual
Prefix:DR
First Name:SARI
Middle Name:ANN LEIVENT
Last Name:SANGHVI
Suffix:
Gender:F
Credentials:PHD, LEP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1425 LEIMERT BLVD
Mailing Address - Street 2:SUITE 302-A
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94602-1865
Mailing Address - Country:US
Mailing Address - Phone:510-545-9722
Mailing Address - Fax:
Practice Address - Street 1:1425 LEIMERT BLVD
Practice Address - Street 2:SUITE 302-A
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94602-1865
Practice Address - Country:US
Practice Address - Phone:510-545-9722
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-04
Last Update Date:2013-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA3189103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool