Provider Demographics
NPI:1356511000
Name:KAUFMANN, SANDY LEE (MFT, CAS)
Entity Type:Individual
Prefix:MS
First Name:SANDY
Middle Name:LEE
Last Name:KAUFMANN
Suffix:
Gender:F
Credentials:MFT, CAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5320 E 2ND ST STE 5
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90803-5350
Mailing Address - Country:US
Mailing Address - Phone:562-438-6474
Mailing Address - Fax:562-438-5405
Practice Address - Street 1:5320 E 2ND ST STE 5
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90803-5350
Practice Address - Country:US
Practice Address - Phone:562-438-6474
Practice Address - Fax:562-438-5405
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-10
Last Update Date:2008-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC-25605106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist