Provider Demographics
NPI:1942634225
Name:TOTH, SACHA ANNE (PHD)
Entity Type:Individual
Prefix:
First Name:SACHA
Middle Name:ANNE
Last Name:TOTH
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:SACHA
Other - Middle Name:ANNE
Other - Last Name:BLISS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:475 PROVIDENCE MAIN ST NW STE 201
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35806-4828
Mailing Address - Country:US
Mailing Address - Phone:256-503-1207
Mailing Address - Fax:256-615-8790
Practice Address - Street 1:475 PROVIDENCE MAIN ST NW STE 201
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35806-4828
Practice Address - Country:US
Practice Address - Phone:256-503-1207
Practice Address - Fax:256-615-8790
Is Sole Proprietor?:No
Enumeration Date:2013-08-22
Last Update Date:2022-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1834103TS0200X, 103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool