Provider Demographics
NPI:1891815619
Name:SAFT, ELIZABETH WITHERS (PHD)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:WITHERS
Last Name:SAFT
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1747 OAK AVE
Mailing Address - Street 2:SUITE 3
Mailing Address - City:DAVIS
Mailing Address - State:CA
Mailing Address - Zip Code:95616-1004
Mailing Address - Country:US
Mailing Address - Phone:530-297-7190
Mailing Address - Fax:530-758-7099
Practice Address - Street 1:1747 OAK AVE
Practice Address - Street 2:SUITE 3
Practice Address - City:DAVIS
Practice Address - State:CA
Practice Address - Zip Code:95616-1004
Practice Address - Country:US
Practice Address - Phone:530-297-7190
Practice Address - Fax:530-758-7099
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY19567103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical