Provider Demographics
NPI:1598001919
Name:GIORNALI SORRELL, CASSANDRA (PSYD, LMFT)
Entity Type:Individual
Prefix:
First Name:CASSANDRA
Middle Name:
Last Name:GIORNALI SORRELL
Suffix:
Gender:F
Credentials:PSYD, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1050 DUNCAN AVE
Mailing Address - Street 2:SUITE K
Mailing Address - City:MANHATTAN BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90266-6700
Mailing Address - Country:US
Mailing Address - Phone:310-266-7272
Mailing Address - Fax:
Practice Address - Street 1:1050 DUNCAN AVENUE
Practice Address - Street 2:SUITE K
Practice Address - City:MANHATTAN BEACH
Practice Address - State:CA
Practice Address - Zip Code:90266
Practice Address - Country:US
Practice Address - Phone:310-266-7272
Practice Address - Fax:310-372-5815
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-13
Last Update Date:2020-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC52670106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist