Soumpholphakdy, Santi Y

Soumpholphakdy, Santi Y is an individual health care provider with primary practice located at 545 Estudillo Ave , San Leandro CA 94577-4611. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Social Worker is his primary health care specialty. Soumpholphakdy, Santi Y can be contacted via phone (510) 352-9200.

Contact Information

Primary practice address
545 Estudillo Ave San Leandro CA 94577-4611
Phone: (510) 352-9200
Fax: (510) 352-3120
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 26030 California
Behavioral Health & Social Service Providers / Clinical 1041C0700X 26030 California

Profile Details

NPI number 1174663488
LBN Legal business name Soumpholphakdy, Santi Y
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2007
Last updated Sep 24th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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