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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MICHELLE MARIE WAMBACH, LMFT, PSY.D

Active Sole Proprietor

DR. MICHELLE MARIE WAMBACH, LMFT, PSY.D is a Marriage & Family Therapist healthcare provider located in SAN JOSE, California. NPI 1619507472 is currently active in the NPPES registry. Verify at CMS.

Marriage & Family Therapist · SAN JOSE, CA

Registration Details

NPI Number
1619507472
Provider Type
Individual
Gender
Female
NPI Issued
Jan 21, 2020 (6.3793473691309 yrs)
Last Updated
Jan 21, 2020
Licenses
41571 (CA)
MFC41571 (CA)
Sole Proprietor
Yes

Practice Information

Address
4020 MOORPARK AVE STE 206
SAN JOSE, CA, 951171846
Browse CA providers · Browse ZIP 95117
Phone
4082797909
Primary Specialty
Marriage & Family Therapist
106H00000X
Additional Specialty
Marriage & Family Therapist

Other Marriage & Family Therapist Providers in SAN JOSE, CA

Name Credential NPI
ANN MCDONALD RICE MFT 1629066063
KRIS BAXTER MFT 1962476952
MS. MELISSA ELIZABETH MILLER M.A. 1770558744
ANNA FERNANDEZ LMFT 1205887965
SCOTT ARENDT MFT 1821040023
SUSAN KNUDSEN MFTI 1235183583
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.