Provider Demographics
NPI:1548829294
Name:SATO-PERRY, CHRISTOPHER WILKINSON (PSYD)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:WILKINSON
Last Name:SATO-PERRY
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1134 CRANE ST STE 218
Mailing Address - Street 2:
Mailing Address - City:MENLO PARK
Mailing Address - State:CA
Mailing Address - Zip Code:94025-4329
Mailing Address - Country:US
Mailing Address - Phone:650-325-2341
Mailing Address - Fax:
Practice Address - Street 1:1134 CRANE ST STE 218
Practice Address - Street 2:
Practice Address - City:MENLO PARK
Practice Address - State:CA
Practice Address - Zip Code:94025-4329
Practice Address - Country:US
Practice Address - Phone:650-325-2341
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-06
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY20638103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist