Individual provider · Type 1 NPI

Sara Diane Southam, REGISTERED PSY ASSOC

Student in an Organized Health Care Education/Training Program · Napa, CA

NPI number 1417807462 Active

Practice location

1900 Jefferson St
Napa, CA 94559-1243

Call (775) 813-1256 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XPSB94027964 (CA)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1417807462

Sara Diane Southam, REGISTERED PSY ASSOC's National Provider Identifier is 1417807462, issued on Jan 30, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Napa, CA. The record was last updated on Jan 30, 2026.