Provider Demographics
NPI:1952519175
Name:SACHS, DONNA L (PHD)
Entity Type:Individual
Prefix:DR
First Name:DONNA
Middle Name:L
Last Name:SACHS
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 1:1712 PICASSO AVE
Mailing Address - Street 2:STE. A
Mailing Address - City:DAVIS
Mailing Address - State:CA
Mailing Address - Zip Code:95616-0546
Mailing Address - Country:US
Mailing Address - Phone:530-400-6379
Mailing Address - Fax:
Practice Address - Street 1:1712 PICASSO AVE
Practice Address - Street 2:STE. A
Practice Address - City:DAVIS
Practice Address - State:CA
Practice Address - Zip Code:95616-0546
Practice Address - Country:US
Practice Address - Phone:530-400-6379
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY4922103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00PL49220Medicare ID - Type Unspecified