Provider Demographics
NPI:1801940648
Name:BAKHSHI, SARAH B
Entity type:Individual
Prefix:DR
First Name:SARAH
Middle Name:B
Last Name:BAKHSHI
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 1:1191 COMPASS LN
Mailing Address - Street 2:APT 201
Mailing Address - City:FOSTER CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94404-3465
Mailing Address - Country:US
Mailing Address - Phone:650-627-9264
Mailing Address - Fax:
Practice Address - Street 1:25 LENOX POINTE NE STE B
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30324-7420
Practice Address - Country:US
Practice Address - Phone:770-233-7574
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-22
Last Update Date:2023-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPSY004567103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist