Provider Demographics
NPI:1003941998
Name:SANCHEZ, ROBERTA NOEL (MFT)
Entity Type:Individual
Prefix:
First Name:ROBERTA
Middle Name:NOEL
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:790 VIA LATA
Mailing Address - Street 2:SUITE 300
Mailing Address - City:COLTON
Mailing Address - State:CA
Mailing Address - Zip Code:92324-3978
Mailing Address - Country:US
Mailing Address - Phone:909-433-0445
Mailing Address - Fax:909-433-0556
Practice Address - Street 1:790 VIA LATA
Practice Address - Street 2:SUITE 300
Practice Address - City:COLTON
Practice Address - State:CA
Practice Address - Zip Code:92324-3978
Practice Address - Country:US
Practice Address - Phone:909-433-0445
Practice Address - Fax:909-433-0556
Is Sole Proprietor?:No
Enumeration Date:2007-02-22
Last Update Date:2011-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC48093106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist