Provider Demographics
NPI:1760034409
Name:MARCHAND, SOPHIE MICHELE (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:SOPHIE
Middle Name:MICHELE
Last Name:MARCHAND
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:875 BROOKLINE DR APT I
Mailing Address - Street 2:
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94087-1274
Mailing Address - Country:US
Mailing Address - Phone:408-475-5966
Mailing Address - Fax:
Practice Address - Street 1:1307 S MARY AVE STE 205
Practice Address - Street 2:
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94087-3071
Practice Address - Country:US
Practice Address - Phone:408-475-5966
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-12
Last Update Date:2021-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA113187106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1588746259OtherANTHEM BLUE CROSS