Provider Demographics
NPI:1225395551
Name:ROTCHFORD, SHERRY L (MFT)
Entity Type:Individual
Prefix:MRS
First Name:SHERRY
Middle Name:L
Last Name:ROTCHFORD
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 1:22028 VENTURA BLVD.
Mailing Address - Street 2:#203
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91364
Mailing Address - Country:US
Mailing Address - Phone:818-347-1708
Mailing Address - Fax:818-992-4887
Practice Address - Street 1:22028 VENTURA BLVD.
Practice Address - Street 2:#203
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91364
Practice Address - Country:US
Practice Address - Phone:818-347-1708
Practice Address - Fax:818-992-4887
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-11
Last Update Date:2012-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA37478-EXP8-31-2012106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist