Provider Demographics
NPI:1760539282
Name:DASGUPTA, SAGARIKA FENELLA (PHD)
Entity Type:Individual
Prefix:MISS
First Name:SAGARIKA
Middle Name:FENELLA
Last Name:DASGUPTA
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:MRS
Other - First Name:SAGARIKA
Other - Middle Name:FENELLA
Other - Last Name:TARASOFF
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:310 HILL BLVD
Mailing Address - Street 2:
Mailing Address - City:PETALUMA
Mailing Address - State:CA
Mailing Address - Zip Code:94952-2436
Mailing Address - Country:US
Mailing Address - Phone:415-717-3216
Mailing Address - Fax:
Practice Address - Street 1:310 HILL BLVD
Practice Address - Street 2:
Practice Address - City:PETALUMA
Practice Address - State:CA
Practice Address - Zip Code:94952-2436
Practice Address - Country:US
Practice Address - Phone:415-717-3216
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health