Provider Demographics
NPI:1386158756
Name:OLIVERA, SARA (MA)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:
Last Name:OLIVERA
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:475 ALBERTO WAY STE 180
Mailing Address - Street 2:
Mailing Address - City:LOS GATOS
Mailing Address - State:CA
Mailing Address - Zip Code:95032-5481
Mailing Address - Country:US
Mailing Address - Phone:408-471-9213
Mailing Address - Fax:
Practice Address - Street 1:475 ALBERTO WAY STE 180
Practice Address - Street 2:
Practice Address - City:LOS GATOS
Practice Address - State:CA
Practice Address - Zip Code:95032-5481
Practice Address - Country:US
Practice Address - Phone:408-471-9213
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-11-21
Last Update Date:2021-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist