Provider Demographics
NPI:1427270651
Name:MORGANTI, SABINE (MFT)
Entity type:Individual
Prefix:
First Name:SABINE
Middle Name:
Last Name:MORGANTI
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:SABINA
Other - Middle Name:
Other - Last Name:MORGANTI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MFT
Mailing Address - Street 1:2551 SAN RAMON VALLEY BLVD
Mailing Address - Street 2:SUITE 252
Mailing Address - City:SAN RAMON
Mailing Address - State:CA
Mailing Address - Zip Code:94583-1614
Mailing Address - Country:US
Mailing Address - Phone:925-838-4350
Mailing Address - Fax:
Practice Address - Street 1:2551 SAN RAMON VALLEY BLVD
Practice Address - Street 2:SUITE 252
Practice Address - City:SAN RAMON
Practice Address - State:CA
Practice Address - Zip Code:94583-1614
Practice Address - Country:US
Practice Address - Phone:925-838-4350
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA24048106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA152689OtherVALUE OPTIONS PROVIDER