Provider Demographics
NPI:1497922702
Name:ADAMS, CRAIG LAMOTT (PHD)
Entity Type:Individual
Prefix:MR
First Name:CRAIG
Middle Name:LAMOTT
Last Name:ADAMS
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1122 B STREET
Mailing Address - Street 2:SUITE 206
Mailing Address - City:HAWARD
Mailing Address - State:CA
Mailing Address - Zip Code:94541-4235
Mailing Address - Country:US
Mailing Address - Phone:510-581-8210
Mailing Address - Fax:510-581-8210
Practice Address - Street 1:1122 B STREET
Practice Address - Street 2:SUITE 206
Practice Address - City:HAWARD
Practice Address - State:CA
Practice Address - Zip Code:94541-4235
Practice Address - Country:US
Practice Address - Phone:510-581-8210
Practice Address - Fax:510-581-8210
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-15
Last Update Date:2008-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY7573103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist