Provider Demographics
NPI:1821797267
Name:KATHARINA SANDIZELL, MARRIAGE FAMILY THERAPY, PC
Entity Type:Organization
Organization Name:KATHARINA SANDIZELL, MARRIAGE FAMILY THERAPY, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LMFT
Authorized Official - Prefix:MS
Authorized Official - First Name:KATHARINA
Authorized Official - Middle Name:ILKA
Authorized Official - Last Name:SANDIZELL
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:415-728-7000
Mailing Address - Street 1:PO BOX 292
Mailing Address - Street 2:
Mailing Address - City:POINT REYES STATION
Mailing Address - State:CA
Mailing Address - Zip Code:94956-0292
Mailing Address - Country:US
Mailing Address - Phone:415-728-7000
Mailing Address - Fax:
Practice Address - Street 1:51 VIENTO WAY
Practice Address - Street 2:
Practice Address - City:POINT REYES STATION
Practice Address - State:CA
Practice Address - Zip Code:94956
Practice Address - Country:US
Practice Address - Phone:415-728-7000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-24
Last Update Date:2023-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty