Provider Demographics
NPI:1548488547
Name:KOCH-SCHILLER, SARAH ANNE (MFTI)
Entity type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:ANNE
Last Name:KOCH-SCHILLER
Suffix:
Gender:F
Credentials:MFTI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HOSPICE BY THE BAY
Mailing Address - Street 2:17 EAST SIR FRANCIS DRAKE BLVD.
Mailing Address - City:LARKSPUR
Mailing Address - State:CA
Mailing Address - Zip Code:94939-1727
Mailing Address - Country:US
Mailing Address - Phone:415-526-5556
Mailing Address - Fax:
Practice Address - Street 1:HOSPICE BY THE BAY
Practice Address - Street 2:17 EAST SIR FRANCIS DRAKE BLVD.
Practice Address - City:LARKSPUR
Practice Address - State:CA
Practice Address - Zip Code:94939-1727
Practice Address - Country:US
Practice Address - Phone:415-526-5556
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFTI46405106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist