Provider Demographics
NPI:1699934851
Name:HEALING PATHWAYS PSYCHOLOGICAL SERVICES, INC.
Entity type:Organization
Organization Name:HEALING PATHWAYS PSYCHOLOGICAL SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST/DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LEONA
Authorized Official - Middle Name:SONJA
Authorized Official - Last Name:KASHERSKY
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:916-595-7233
Mailing Address - Street 1:2710 X ST
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95818-2757
Mailing Address - Country:US
Mailing Address - Phone:916-595-7233
Mailing Address - Fax:916-453-9093
Practice Address - Street 1:2710 X ST
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95818-2757
Practice Address - Country:US
Practice Address - Phone:916-595-7233
Practice Address - Fax:916-453-9093
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-03
Last Update Date:2014-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty