Provider Demographics
NPI:1932158748
Name:DANTI, JOANNE A (PHD)
Entity Type:Individual
Prefix:DR
First Name:JOANNE
Middle Name:A
Last Name:DANTI
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9132 CALDERA WAY
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95826-4123
Mailing Address - Country:US
Mailing Address - Phone:916-284-8500
Mailing Address - Fax:916-369-8002
Practice Address - Street 1:9132 CALDERA WAY
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95826-4123
Practice Address - Country:US
Practice Address - Phone:916-284-8500
Practice Address - Fax:916-369-8002
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY9015103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00PL90150Medicare ID - Type Unspecified