Provider Demographics
NPI:1275415598
Name:ROSENTAL SAPORITO, DORIN LISE (LMFT, PPS)
Entity type:Individual
Prefix:
First Name:DORIN
Middle Name:LISE
Last Name:ROSENTAL SAPORITO
Suffix:
Gender:F
Credentials:LMFT, PPS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:408 JUNIPERO SERRA DR
Mailing Address - Street 2:
Mailing Address - City:SAN GABRIEL
Mailing Address - State:CA
Mailing Address - Zip Code:91776-1235
Mailing Address - Country:US
Mailing Address - Phone:626-451-5400
Mailing Address - Fax:
Practice Address - Street 1:408 JUNIPERO SERRA DR
Practice Address - Street 2:
Practice Address - City:SAN GABRIEL
Practice Address - State:CA
Practice Address - Zip Code:91776-1235
Practice Address - Country:US
Practice Address - Phone:626-451-5400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-25
Last Update Date:2025-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA39139106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist