Provider Demographics
NPI:1679881494
Name:AUMIPHIN, CAROLINE ANNE
Entity Type:Individual
Prefix:
First Name:CAROLINE
Middle Name:ANNE
Last Name:AUMIPHIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3265 ROCKPORT AVE APT A
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95132-2832
Mailing Address - Country:US
Mailing Address - Phone:408-512-7152
Mailing Address - Fax:
Practice Address - Street 1:3265 ROCKPORT AVE APT A
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95132-2832
Practice Address - Country:US
Practice Address - Phone:408-512-7152
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-14
Last Update Date:2012-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health