Provider Demographics
NPI:1447251384
Name:SATTEN, WAYNE (PSYD)
Entity type:Individual
Prefix:
First Name:WAYNE
Middle Name:
Last Name:SATTEN
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:PO BOX 43160
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85733-3160
Mailing Address - Country:US
Mailing Address - Phone:520-733-2524
Mailing Address - Fax:520-733-3444
Practice Address - Street 1:5920 E PIMA ST STE 140
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85712-4380
Practice Address - Country:US
Practice Address - Phone:520-733-2524
Practice Address - Fax:520-733-3444
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-02
Last Update Date:2020-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ1503103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ043394OtherMANAGED HEALTH NETWORK
AZAZ0607180OtherBLUE CROSS BLUE SHIELD
AZ043394OtherMANAGED HEALTH NETWORK
AZAZ0607180OtherBLUE CROSS BLUE SHIELD