Provider Demographics
NPI:1437580891
Name:BRASCIA, SONDRA (PHD, MFT)
Entity Type:Individual
Prefix:DR
First Name:SONDRA
Middle Name:
Last Name:BRASCIA
Suffix:
Gender:F
Credentials:PHD, MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 6538
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90212-6538
Mailing Address - Country:US
Mailing Address - Phone:310-701-6272
Mailing Address - Fax:
Practice Address - Street 1:9107 WILSHIRE BLVD STE 475
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90210-5559
Practice Address - Country:US
Practice Address - Phone:310-701-6272
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-10
Last Update Date:2013-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC27708106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist