Provider Demographics
NPI:1073778932
Name:UQDAH, MUNEERAH (LCSW)
Entity Type:Individual
Prefix:MISS
First Name:MUNEERAH
Middle Name:
Last Name:UQDAH
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:425 W CENTRAL AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:LOMPOC
Mailing Address - State:CA
Mailing Address - Zip Code:93436-2807
Mailing Address - Country:US
Mailing Address - Phone:805-934-5430
Mailing Address - Fax:805-938-9207
Practice Address - Street 1:425 W CENTRAL AVE STE 201
Practice Address - Street 2:
Practice Address - City:LOMPOC
Practice Address - State:CA
Practice Address - Zip Code:93436-2807
Practice Address - Country:US
Practice Address - Phone:805-934-5430
Practice Address - Fax:805-938-9207
Is Sole Proprietor?:No
Enumeration Date:2008-07-21
Last Update Date:2018-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCSW664261041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical