Provider Demographics
NPI:1194122069
Name:GILL, SATINDER (PSYD)
Entity type:Individual
Prefix:DR
First Name:SATINDER
Middle Name:
Last Name:GILL
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4701 X ST STE E
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95817-2219
Mailing Address - Country:US
Mailing Address - Phone:916-734-3090
Mailing Address - Fax:916-734-8750
Practice Address - Street 1:4701 X ST STE E
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95817-2219
Practice Address - Country:US
Practice Address - Phone:916-734-3090
Practice Address - Fax:916-734-8750
Is Sole Proprietor?:No
Enumeration Date:2014-11-20
Last Update Date:2015-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA26168103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical