Provider Demographics
NPI:1578716718
Name:GIULIANO-GHAHRAMANI, SUSANNA (MSW)
Entity Type:Individual
Prefix:MRS
First Name:SUSANNA
Middle Name:
Last Name:GIULIANO-GHAHRAMANI
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:MRS
Other - First Name:SUSANNA
Other - Middle Name:
Other - Last Name:GIULIANO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW
Mailing Address - Street 1:915 W FOOTHILL BLVD STE C
Mailing Address - Street 2:
Mailing Address - City:CLAREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:91711-3356
Mailing Address - Country:US
Mailing Address - Phone:213-500-5208
Mailing Address - Fax:
Practice Address - Street 1:450 BAUCHET ST
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90012-2907
Practice Address - Country:US
Practice Address - Phone:213-473-6184
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-31
Last Update Date:2008-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAASW-200541041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical