Provider Demographics
NPI:1346796448
Name:SHTAYYEH, NAJI IYAD (LMFT)
Entity Type:Individual
Prefix:
First Name:NAJI
Middle Name:IYAD
Last Name:SHTAYYEH
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:YUSSEF
Other - Middle Name:NAJI
Other - Last Name:SHTAYYEH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMFT
Mailing Address - Street 1:251 LLEWELLYN AVE DEPT 510
Mailing Address - Street 2:
Mailing Address - City:CAMPBELL
Mailing Address - State:CA
Mailing Address - Zip Code:95008-1940
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:251 LLEWELLYN AVE DEPT 510
Practice Address - Street 2:
Practice Address - City:CAMPBELL
Practice Address - State:CA
Practice Address - Zip Code:95008-1940
Practice Address - Country:US
Practice Address - Phone:408-623-3581
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-29
Last Update Date:2018-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional