Provider Demographics
NPI:1851913487
Name:SANO PSYCHOTHERAPY P.C.
Entity Type:Organization
Organization Name:SANO PSYCHOTHERAPY P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CHRISTY
Authorized Official - Middle Name:
Authorized Official - Last Name:COSPER
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:562-607-3663
Mailing Address - Street 1:6272 E PACIFIC COAST HWY STE D
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90803-4806
Mailing Address - Country:US
Mailing Address - Phone:562-252-9796
Mailing Address - Fax:
Practice Address - Street 1:6272 E PACIFIC COAST HWY STE D
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90803-4806
Practice Address - Country:US
Practice Address - Phone:562-252-9796
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-18
Last Update Date:2020-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1376782953OtherNPI