Provider Demographics
NPI:1861033201
Name:ALLAM, FATIMA ZAHRA
Entity Type:Individual
Prefix:
First Name:FATIMA
Middle Name:ZAHRA
Last Name:ALLAM
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 1:47 LAUSANNE AVE
Mailing Address - Street 2:
Mailing Address - City:DALY CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94014-1853
Mailing Address - Country:US
Mailing Address - Phone:415-813-8897
Mailing Address - Fax:
Practice Address - Street 1:1900 EMBARCADERO STE 305
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94606-5227
Practice Address - Country:US
Practice Address - Phone:510-838-1110
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-07
Last Update Date:2019-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health