Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tina Marie Sandoval Broussard

Individual provider Marriage & Family Therapist · NPI 1659111904

Tina Marie Sandoval Broussard is a Marriage & Family Therapist in Hayward, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2024

Practice location Address checks out

24987 Bland St
Hayward, CA 94541-6908
Phone: (510) 589-7660
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 146970 (CA)

Record details

NPI number1659111904
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 24, 2024
Last updated in NPPESMay 24, 2024
Certification dateMay 24, 2024

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