Provider Demographics
NPI:1023132248
Name:SOKOLAY, PHILIP G (MFT)
Entity type:Individual
Prefix:MR
First Name:PHILIP
Middle Name:G
Last Name:SOKOLAY
Suffix:
Gender:M
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:234 BAKER ST
Mailing Address - Street 2:
Mailing Address - City:BENICIA
Mailing Address - State:CA
Mailing Address - Zip Code:94510-1502
Mailing Address - Country:US
Mailing Address - Phone:707-748-1091
Mailing Address - Fax:
Practice Address - Street 1:234 BAKER ST
Practice Address - Street 2:
Practice Address - City:BENICIA
Practice Address - State:CA
Practice Address - Zip Code:94510-1502
Practice Address - Country:US
Practice Address - Phone:510-606-9987
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA8884106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist