Provider Demographics
NPI:1518957216
Name:MILHEM, LUTFIAH (PHD)
Entity Type:Individual
Prefix:DR
First Name:LUTFIAH
Middle Name:
Last Name:MILHEM
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:LUCY
Other - Middle Name:
Other - Last Name:MILHEM
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHD
Mailing Address - Street 1:3546 21ST ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94114-3027
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:870 MARKET ST. SUITE 1059
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94102
Practice Address - Country:US
Practice Address - Phone:415-437-4011
Practice Address - Fax:415-362-1067
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY15134103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical