Provider Demographics
NPI:1538502869
Name:VIRDEE, SIMRAN K
Entity Type:Individual
Prefix:
First Name:SIMRAN
Middle Name:K
Last Name:VIRDEE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:SIMRAN
Other - Middle Name:KAUR
Other - Last Name:VIRDEE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMFT #123336
Mailing Address - Street 1:1 SAINT VINCENTS DR
Mailing Address - Street 2:
Mailing Address - City:SAN RAFAEL
Mailing Address - State:CA
Mailing Address - Zip Code:94903-1504
Mailing Address - Country:US
Mailing Address - Phone:415-507-2000
Mailing Address - Fax:
Practice Address - Street 1:1 SAINT VINCENTS DR
Practice Address - Street 2:
Practice Address - City:SAN RAFAEL
Practice Address - State:CA
Practice Address - Zip Code:94903-1504
Practice Address - Country:US
Practice Address - Phone:415-507-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-17
Last Update Date:2022-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist