Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Michelle Marie Wambach, LMFT, PSYD

Individual provider Marriage & Family Therapist · NPI 1619507472

Dr. Michelle Marie Wambach, LMFT, PSYD is a Marriage & Family Therapist in San Jose, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2020
Specialties on file
2
What do these letters mean?
LMFT — Licensed Marriage and Family Therapist
A therapist licensed to treat couples and families.
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

4020 Moorpark Ave Ste 206
San Jose, CA 95117-1846
Phone: (408) 279-7909
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence MFC41571 (CA)
Marriage & Family Therapist Taxonomy 106H00000X · Licence 41571 (CA)

Record details

NPI number1619507472
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMFT , PSYD
Sole proprietorYes
NPI enumeratedJanuary 21, 2020
Last updated in NPPESJanuary 21, 2020
Certification dateJanuary 21, 2020

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