Provider Demographics
NPI:1841565710
Name:SATO, KAZUKO (PHD)
Entity Type:Individual
Prefix:DR
First Name:KAZUKO
Middle Name:
Last Name:SATO
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:KAY KAZUKO
Other - Middle Name:
Other - Last Name:SATO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHD
Mailing Address - Street 1:1801 WESTWIND DRIVE
Mailing Address - Street 2:BAKERSFIELD VA CBOC, MHC
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93301
Mailing Address - Country:US
Mailing Address - Phone:661-632-1860
Mailing Address - Fax:
Practice Address - Street 1:1801 WESTWIND DR
Practice Address - Street 2:BAKERSFIELD VA CBOC, MHC
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93301-3028
Practice Address - Country:US
Practice Address - Phone:661-632-1860
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-12
Last Update Date:2012-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist