Individual
SARA BLYTHE HERON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1175 SARATOGA AVE STE 14, SAN JOSE, CA 95129-3427
(408) 996-7950
Mailing address
1175 SARATOGA AVE STE 14, SAN JOSE, CA 95129-3427
(408) 996-7950
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
A112236
CA
Other
Enumeration date
08/12/2008
Last updated
06/17/2021
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