Provider Demographics
NPI:1821207325
Name:WOOD-KRAFT, SARA L (PHD)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:L
Last Name:WOOD-KRAFT
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 1:95 TEMPLAR PL
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94618-2649
Mailing Address - Country:US
Mailing Address - Phone:510-506-6538
Mailing Address - Fax:510-618-3434
Practice Address - Street 1:2000 EMBARCADERO
Practice Address - Street 2:STE. 400
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94606-5334
Practice Address - Country:US
Practice Address - Phone:510-506-6538
Practice Address - Fax:510-618-3434
Is Sole Proprietor?:No
Enumeration Date:2007-05-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY11908103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical