Provider Demographics
NPI:1922727866
Name:RUBA ALAMI PSYCHOLOGIST INC
Entity Type:Organization
Organization Name:RUBA ALAMI PSYCHOLOGIST INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:RUBA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALAMI
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:626-765-4491
Mailing Address - Street 1:5208 PALM DR
Mailing Address - Street 2:
Mailing Address - City:LA CANADA FLINTRIDGE
Mailing Address - State:CA
Mailing Address - Zip Code:91011-1659
Mailing Address - Country:US
Mailing Address - Phone:626-765-4491
Mailing Address - Fax:
Practice Address - Street 1:2629 FOOTHILL BLVD # 160
Practice Address - Street 2:
Practice Address - City:LA CRESCENTA
Practice Address - State:CA
Practice Address - Zip Code:91214-3511
Practice Address - Country:US
Practice Address - Phone:626-765-4491
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-24
Last Update Date:2022-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty