Provider Demographics
NPI:1194282236
Name:LEE, SAPNA CHAUDHRI (MFT)
Entity type:Individual
Prefix:MRS
First Name:SAPNA
Middle Name:CHAUDHRI
Last Name:LEE
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4660 LA JOLLA VILLAGE DR STE 100
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92122-4604
Mailing Address - Country:US
Mailing Address - Phone:858-699-6244
Mailing Address - Fax:
Practice Address - Street 1:4660 LA JOLLA VILLAGE DR STE 100
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92122-4604
Practice Address - Country:US
Practice Address - Phone:858-699-6244
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-25
Last Update Date:2019-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA41857106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA41857OtherBOARD OF BEHAVIORAL SCIENCES