Provider Demographics
NPI:1396948949
Name:LEDET, SARITA MARIA (MFT)
Entity type:Individual
Prefix:
First Name:SARITA
Middle Name:MARIA
Last Name:LEDET
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20833 STEVENS CREEK BLVD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:CUPERTINO
Mailing Address - State:CA
Mailing Address - Zip Code:95014-2154
Mailing Address - Country:US
Mailing Address - Phone:408-342-0612
Mailing Address - Fax:408-342-0617
Practice Address - Street 1:20833 STEVENS CREEK BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:CUPERTINO
Practice Address - State:CA
Practice Address - Zip Code:95014-2154
Practice Address - Country:US
Practice Address - Phone:408-342-0612
Practice Address - Fax:408-342-0617
Is Sole Proprietor?:No
Enumeration Date:2007-06-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC23027106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist