Provider Demographics
NPI:1790848117
Name:CERRUTI, CORINNE MICHELLE (LMFT)
Entity Type:Individual
Prefix:
First Name:CORINNE
Middle Name:MICHELLE
Last Name:CERRUTI
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 1:19000 HOMESTEAD RD
Mailing Address - Street 2:FIRST FLOOR
Mailing Address - City:CUPERTINO
Mailing Address - State:CA
Mailing Address - Zip Code:95014-0712
Mailing Address - Country:US
Mailing Address - Phone:408-366-4220
Mailing Address - Fax:408-366-4201
Practice Address - Street 1:19000 HOMESTEAD RD
Practice Address - Street 2:FIRST FLOOR
Practice Address - City:CUPERTINO
Practice Address - State:CA
Practice Address - Zip Code:95014-0712
Practice Address - Country:US
Practice Address - Phone:408-366-4220
Practice Address - Fax:408-366-4201
Is Sole Proprietor?:No
Enumeration Date:2006-12-18
Last Update Date:2022-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA41180106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist