MEDICARE: MRS. SARAH JUDITH ASHBROOK LMFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	MFC 46261	CA

General Provider Information

NPI Number	:	1114040557
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SARAH JUDITH ASHBROOK LMFT

Provider Business Mailing Address
First Line	:	4439 TOMPKINS AVE
Second Line	:
City	:	OAKLAND
State	:	CA
Zip	:	94619-2822
Country	:	US
Telephone Number	:	510-759-2501
Fax Number	:

Provider Business Practice Location Address
First Line	:	2577 SAN PABLO AVENUE
Second Line	:
City	:	OAKLAND
State	:	CA
Zip	:	94612
Country	:	US
Telephone Number	:	510-446-7180
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/09/2007
Last Update Date	:	01/25/2026

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