Healthcare Provider Details

I. General information

NPI: 1235383217
Provider Name (Legal Business Name): SONI DANI LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SONAL AJIT DANI

II. Dates (important events)

Enumeration Date: 11/04/2008
Last Update Date: 04/03/2026
Certification Date: 04/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

210 S ORANGE GROVE BLVD
PASADENA CA
91105-1705
US

IV. Provider business mailing address

210 S ORANGE GROVE BLVD
PASADENA CA
91105-1705
US

V. Phone/Fax

Practice location:
  • Phone: 562-263-6041
  • Fax: 562-263-6041
Mailing address:
  • Phone: 714-455-9904
  • Fax: 562-263-6041

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number101317
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: