Provider Demographics
NPI:1174655625
Name:ABRAMS, XANDER (PHD)
Entity Type:Individual
Prefix:DR
First Name:XANDER
Middle Name:
Last Name:ABRAMS
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:DR
Other - First Name:STEVEN
Other - Middle Name:CRAIG
Other - Last Name:ABRAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:700 FREDERICK ST STE 304
Mailing Address - Street 2:
Mailing Address - City:SANTA CRUZ
Mailing Address - State:CA
Mailing Address - Zip Code:95062-2239
Mailing Address - Country:US
Mailing Address - Phone:831-425-7067
Mailing Address - Fax:831-425-7067
Practice Address - Street 1:700 FREDERICK ST STE 304
Practice Address - Street 2:
Practice Address - City:SANTA CRUZ
Practice Address - State:CA
Practice Address - Zip Code:95062-2239
Practice Address - Country:US
Practice Address - Phone:831-425-7067
Practice Address - Fax:831-425-7067
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMB23804106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist