Provider Demographics
NPI:1760747307
Name:SANCHEZ, SUSAN ANN
Entity Type:Individual
Prefix:MS
First Name:SUSAN
Middle Name:ANN
Last Name:SANCHEZ
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 1:420 CASSIA ST
Mailing Address - Street 2:
Mailing Address - City:REDWOOD CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94063-2011
Mailing Address - Country:US
Mailing Address - Phone:650-556-5359
Mailing Address - Fax:
Practice Address - Street 1:695 5TH AVE
Practice Address - Street 2:
Practice Address - City:REDWOOD CITY
Practice Address - State:CA
Practice Address - Zip Code:94063-3818
Practice Address - Country:US
Practice Address - Phone:650-568-9006
Practice Address - Fax:650-568-9012
Is Sole Proprietor?:No
Enumeration Date:2012-07-10
Last Update Date:2023-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health