Provider Demographics
NPI:1104341718
Name:DANILA MUSANTE
Entity type:Organization
Organization Name:DANILA MUSANTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:DANILA
Authorized Official - Middle Name:
Authorized Official - Last Name:MUSANTE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:510-560-4218
Mailing Address - Street 1:5840 AYALA AVE
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94609-1506
Mailing Address - Country:US
Mailing Address - Phone:510-421-1973
Mailing Address - Fax:
Practice Address - Street 1:835 COLLEGE AVE
Practice Address - Street 2:
Practice Address - City:KENTFIELD
Practice Address - State:CA
Practice Address - Zip Code:94904-2551
Practice Address - Country:US
Practice Address - Phone:415-485-9649
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-04
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY28066103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty