Provider Demographics
NPI:1871922732
Name:SAKS, GILA ANN (PHD)
Entity type:Individual
Prefix:DR
First Name:GILA
Middle Name:ANN
Last Name:SAKS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6271 E PLACITA ASPECTO
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85750-1286
Mailing Address - Country:US
Mailing Address - Phone:520-444-6697
Mailing Address - Fax:
Practice Address - Street 1:5315 E BROADWAY BLVD STE 201
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85711-3719
Practice Address - Country:US
Practice Address - Phone:520-444-6697
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-01
Last Update Date:2013-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ1890103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist