Provider Demographics
NPI:1518097880
Name:RITH, SOTHY TEE
Entity Type:Individual
Prefix:MR
First Name:SOTHY
Middle Name:TEE
Last Name:RITH
Suffix:
Gender:M
Credentials:
Other - Prefix:MR
Other - First Name:TEE
Other - Middle Name:
Other - Last Name:RITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LICENSED MFT
Mailing Address - Street 1:1396 W HERNDON AVE STE 110
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93711-7126
Mailing Address - Country:US
Mailing Address - Phone:559-753-1273
Mailing Address - Fax:
Practice Address - Street 1:1396 W HERNDON AVE STE 110
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93711-7126
Practice Address - Country:US
Practice Address - Phone:559-573-0946
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-06
Last Update Date:2023-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA106672106H00000X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist