Provider Demographics
NPI:1184895625
Name:SANDELMAN, RACHEL C
Entity type:Individual
Prefix:MISS
First Name:RACHEL
Middle Name:C
Last Name:SANDELMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2011 LITTLE ORCHARD ST
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95125-1031
Mailing Address - Country:US
Mailing Address - Phone:408-245-1805
Mailing Address - Fax:
Practice Address - Street 1:2011 LITTLE ORCHARD ST
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95125-1031
Practice Address - Country:US
Practice Address - Phone:408-245-1805
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-03-12
Last Update Date:2023-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA112686106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist