Provider Demographics
NPI:1174419873
Name:SOPP, THOMAS JEFFERY (PPS, LMFT)
Entity type:Individual
Prefix:
First Name:THOMAS
Middle Name:JEFFERY
Last Name:SOPP
Suffix:
Gender:M
Credentials:PPS, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1515 HUGHES WAY
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90810-1865
Mailing Address - Country:US
Mailing Address - Phone:562-997-8000
Mailing Address - Fax:
Practice Address - Street 1:1515 HUGHES WAY
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90810-1865
Practice Address - Country:US
Practice Address - Phone:562-997-8000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-17
Last Update Date:2025-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA36146106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist