Provider Demographics
NPI:1538387261
Name:SANCHEZ-WIFALL, SYLVIA (LMFT)
Entity type:Individual
Prefix:MRS
First Name:SYLVIA
Middle Name:
Last Name:SANCHEZ-WIFALL
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:556 MIDLAND ST
Mailing Address - Street 2:
Mailing Address - City:BRIDGEPORT
Mailing Address - State:CT
Mailing Address - Zip Code:06605-3347
Mailing Address - Country:US
Mailing Address - Phone:203-394-6529
Mailing Address - Fax:
Practice Address - Street 1:556 MIDLAND ST
Practice Address - Street 2:
Practice Address - City:BRIDGEPORT
Practice Address - State:CT
Practice Address - Zip Code:06605-3347
Practice Address - Country:US
Practice Address - Phone:203-520-6665
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-20
Last Update Date:2022-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000969106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist