Provider Demographics
NPI:1881804623
Name:SAPOSNEK, DONALD T (PHD)
Entity type:Individual
Prefix:DR
First Name:DONALD
Middle Name:T
Last Name:SAPOSNEK
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6233 SOQUEL DR
Mailing Address - Street 2:SUITE E
Mailing Address - City:APTOS
Mailing Address - State:CA
Mailing Address - Zip Code:95003-3184
Mailing Address - Country:US
Mailing Address - Phone:831-476-9225
Mailing Address - Fax:831-662-9056
Practice Address - Street 1:6233 SOQUEL DR
Practice Address - Street 2:SUITE E
Practice Address - City:APTOS
Practice Address - State:CA
Practice Address - Zip Code:95003-3184
Practice Address - Country:US
Practice Address - Phone:831-476-9225
Practice Address - Fax:831-662-9056
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY4270103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent