Provider Demographics
NPI:1770892283
Name:SANDHU, PRAVINDRAJIT (MFT)
Entity type:Individual
Prefix:
First Name:PRAVINDRAJIT
Middle Name:
Last Name:SANDHU
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 1:3996 CESAR CHAVEZ ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94131-2004
Mailing Address - Country:US
Mailing Address - Phone:415-554-1480
Mailing Address - Fax:415-503-2398
Practice Address - Street 1:3996 CESAR CHAVEZ ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94131-2004
Practice Address - Country:US
Practice Address - Phone:415-987-5780
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-30
Last Update Date:2020-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
CA103288106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program