Provider Demographics
NPI:1447311402
Name:FRENCH, TOBY ELLEN (MFT)
Entity type:Individual
Prefix:MS
First Name:TOBY
Middle Name:ELLEN
Last Name:FRENCH
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:MS
Other - First Name:TOBY
Other - Middle Name:
Other - Last Name:FRENCH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MFT
Mailing Address - Street 1:2890 PLEASANT HILL RD
Mailing Address - Street 2:
Mailing Address - City:SEBASTOPOL
Mailing Address - State:CA
Mailing Address - Zip Code:95472-5443
Mailing Address - Country:US
Mailing Address - Phone:707-824-2286
Mailing Address - Fax:
Practice Address - Street 1:7765 HEALDSBURG AVE STE 5
Practice Address - Street 2:
Practice Address - City:SEBASTOPOL
Practice Address - State:CA
Practice Address - Zip Code:95472-3355
Practice Address - Country:US
Practice Address - Phone:707-824-2286
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC35840106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist