Provider Demographics
NPI:1467612705
Name:PAZ, SONIA (LMFT)
Entity Type:Individual
Prefix:
First Name:SONIA
Middle Name:
Last Name:PAZ
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:SONIA
Other - Middle Name:
Other - Last Name:PAZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MFT
Mailing Address - Street 1:501 1ST AVE
Mailing Address - Street 2:SUITE 1
Mailing Address - City:SAN MATEO
Mailing Address - State:CA
Mailing Address - Zip Code:94401-3213
Mailing Address - Country:US
Mailing Address - Phone:650-733-4638
Mailing Address - Fax:
Practice Address - Street 1:501 1ST AVE
Practice Address - Street 2:SUITE 1
Practice Address - City:SAN MATEO
Practice Address - State:CA
Practice Address - Zip Code:94401-3213
Practice Address - Country:US
Practice Address - Phone:650-733-4638
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-10
Last Update Date:2014-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist