Provider Demographics
NPI:1972682987
Name:RICE, SONDRA S (MS)
Entity type:Individual
Prefix:MS
First Name:SONDRA
Middle Name:S
Last Name:RICE
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2567 KATRINA WAY
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:CA
Mailing Address - Zip Code:94040-3949
Mailing Address - Country:US
Mailing Address - Phone:408-793-0138
Mailing Address - Fax:650-960-3204
Practice Address - Street 1:1101 S WINCHESTER BLVD STE A101
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95128-3914
Practice Address - Country:US
Practice Address - Phone:408-793-0138
Practice Address - Fax:408-248-2271
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA36714106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist