Doctor Name: | LIANA JUSTINE KARAM |
NPI Number: | 1003190380 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 4368 Lincoln Ave Oakland, CA - 946022529 |
Business Phone Number: | 5105313111 |
Business Fax Number: | 5105308083 |
Mailing Address: | 4368 Lincoln Ave, OAKLAND |
State: | CA |
Postal Code: | 946022529 |
Phone Number: | 5105313111 |
Fax Number: | 5105308083 |
NPI Enumeration Date: | 10/04/2011 |
NPI Last Update Date: | 10/04/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041S0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | School |
Taxonomy Definition: |