Provider Demographics
NPI:1952509879
Name:DAUSHVILI-SCHOENFELD, SOPHIE KONSTANTINE (MFT)
Entity Type:Individual
Prefix:MS
First Name:SOPHIE
Middle Name:KONSTANTINE
Last Name:DAUSHVILI-SCHOENFELD
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:MS
Other - First Name:SOPHIE
Other - Middle Name:KONSTANTINE
Other - Last Name:SCHOENFELD
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA, MFT
Mailing Address - Street 1:3812 SEPULVEDA BLVD
Mailing Address - Street 2:STE. 360
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505-2413
Mailing Address - Country:US
Mailing Address - Phone:310-803-5447
Mailing Address - Fax:
Practice Address - Street 1:3812 SEPULVEDA BLVD.
Practice Address - Street 2:STE. 360
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505
Practice Address - Country:US
Practice Address - Phone:310-803-5447
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC# 44545106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist