Provider Demographics
NPI:1679922322
Name:NUNAN-SAAH, JULIA (PHD)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:
Last Name:NUNAN-SAAH
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000 ALAMEDA DE LAS PULGAS
Mailing Address - Street 2:SUITE 242
Mailing Address - City:SAN MATEO
Mailing Address - State:CA
Mailing Address - Zip Code:94403
Mailing Address - Country:US
Mailing Address - Phone:650-931-6514
Mailing Address - Fax:833-989-0246
Practice Address - Street 1:2000 ALAMEDA DE LAS PULGAS
Practice Address - Street 2:SUITE 242
Practice Address - City:SAN MATEO
Practice Address - State:CA
Practice Address - Zip Code:94403
Practice Address - Country:US
Practice Address - Phone:650-931-6514
Practice Address - Fax:833-989-0246
Is Sole Proprietor?:No
Enumeration Date:2016-06-03
Last Update Date:2020-03-10
Deactivation Date:2017-07-25
Deactivation Code:
Reactivation Date:2019-01-18
Provider Licenses
StateLicense IDTaxonomies
CAPSY30488103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist