Provider Demographics
NPI:1235264979
Name:SORIA, RITA P
Entity Type:Individual
Prefix:MS
First Name:RITA
Middle Name:P
Last Name:SORIA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:425 PINE ST
Mailing Address - Street 2:SUITE 2
Mailing Address - City:GALT
Mailing Address - State:CA
Mailing Address - Zip Code:95632-2055
Mailing Address - Country:US
Mailing Address - Phone:209-745-3101
Mailing Address - Fax:209-745-7539
Practice Address - Street 1:425 PINE ST
Practice Address - Street 2:SUITE 2
Practice Address - City:GALT
Practice Address - State:CA
Practice Address - Zip Code:95632-2055
Practice Address - Country:US
Practice Address - Phone:209-745-3101
Practice Address - Fax:209-745-7539
Is Sole Proprietor?:No
Enumeration Date:2007-02-22
Last Update Date:2011-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist