Provider Demographics
NPI:1215076716
Name:TAULBEE, SANDRA J (D M H, LMFT)
Entity type:Individual
Prefix:DR
First Name:SANDRA
Middle Name:J
Last Name:TAULBEE
Suffix:
Gender:F
Credentials:D M H, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29784 CHESHIRE COURT
Mailing Address - Street 2:
Mailing Address - City:MENIFEE
Mailing Address - State:CA
Mailing Address - Zip Code:92584
Mailing Address - Country:US
Mailing Address - Phone:516-864-6429
Mailing Address - Fax:
Practice Address - Street 1:29784 CHESHIRE CT
Practice Address - Street 2:
Practice Address - City:MENIFEE
Practice Address - State:CA
Practice Address - Zip Code:92584-7560
Practice Address - Country:US
Practice Address - Phone:516-864-6429
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMF16887106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist