Provider Demographics
NPI:1891996724
Name:LIU, SASHA
Entity Type:Individual
Prefix:
First Name:SASHA
Middle Name:
Last Name:LIU
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:PO BOX 781
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:CA
Mailing Address - Zip Code:94042-0781
Mailing Address - Country:US
Mailing Address - Phone:510-874-4715
Mailing Address - Fax:510-874-4715
Practice Address - Street 1:39825 PASEO PADRE PKWY
Practice Address - Street 2:SUITE B, 2ND FLOOR
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94538-2965
Practice Address - Country:US
Practice Address - Phone:510-874-4715
Practice Address - Fax:510-874-4715
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-29
Last Update Date:2016-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor