Provider Demographics
NPI:1558496786
Name:SANCHEZ-PADILLA, DELIMAR (PHD)
Entity Type:Individual
Prefix:
First Name:DELIMAR
Middle Name:
Last Name:SANCHEZ-PADILLA
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:DELIMAR
Other - Middle Name:
Other - Last Name:SANCHEZ-PADILLA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD
Mailing Address - Street 1:25 GIACOMINI RD
Mailing Address - Street 2:
Mailing Address - City:POINT REYES STATION
Mailing Address - State:CA
Mailing Address - Zip Code:94956-9752
Mailing Address - Country:US
Mailing Address - Phone:415-299-2768
Mailing Address - Fax:
Practice Address - Street 1:6100 REDWOOD BLVD
Practice Address - Street 2:
Practice Address - City:NOVATO
Practice Address - State:CA
Practice Address - Zip Code:94945-4501
Practice Address - Country:US
Practice Address - Phone:415-299-2768
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-21
Last Update Date:2023-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA28293103TC0700X
CAPSY28293103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical