Provider Demographics
NPI:1831314681
Name:SVEREIKA, IRIS
Entity Type:Individual
Prefix:MS
First Name:IRIS
Middle Name:
Last Name:SVEREIKA
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 1:271 WATER ST
Mailing Address - Street 2:
Mailing Address - City:SANTA CRUZ
Mailing Address - State:CA
Mailing Address - Zip Code:95060-4009
Mailing Address - Country:US
Mailing Address - Phone:831-427-5290
Mailing Address - Fax:831-459-6504
Practice Address - Street 1:271 WATER ST
Practice Address - Street 2:
Practice Address - City:SANTA CRUZ
Practice Address - State:CA
Practice Address - Zip Code:95060-4009
Practice Address - Country:US
Practice Address - Phone:831-427-5290
Practice Address - Fax:831-459-6504
Is Sole Proprietor?:No
Enumeration Date:2007-04-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)