Provider Demographics
NPI:1992549083
Name:WHYNACHT, SOPHIE (PHD)
Entity type:Individual
Prefix:DR
First Name:SOPHIE
Middle Name:
Last Name:WHYNACHT
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:SOPHIE
Other - Middle Name:
Other - Last Name:SCHUYLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:74 WINDSTONE DR
Mailing Address - Street 2:
Mailing Address - City:SAN RAFAEL
Mailing Address - State:CA
Mailing Address - Zip Code:94903-1465
Mailing Address - Country:US
Mailing Address - Phone:503-901-5587
Mailing Address - Fax:
Practice Address - Street 1:74 WINDSTONE DR
Practice Address - Street 2:
Practice Address - City:SAN RAFAEL
Practice Address - State:CA
Practice Address - Zip Code:94903-1465
Practice Address - Country:US
Practice Address - Phone:503-901-5587
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-24
Last Update Date:2024-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling