Provider Demographics
NPI:1780845602
Name:THOMPSON, SARAH M (MFT 20411)
Entity Type:Individual
Prefix:MS
First Name:SARAH
Middle Name:M
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:MFT 20411
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4326 18TH ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94114-2427
Mailing Address - Country:US
Mailing Address - Phone:415-285-5080
Mailing Address - Fax:
Practice Address - Street 1:4326 18TH ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94114-2427
Practice Address - Country:US
Practice Address - Phone:415-285-5080
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-23
Last Update Date:2008-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT 20411106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist