Provider Demographics
NPI:1942087515
Name:IKRAM, AMEENAH SOHAIL (PSYD)
Entity Type:Individual
Prefix:
First Name:AMEENAH
Middle Name:SOHAIL
Last Name:IKRAM
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8303 SIX FORKS RD STE 207
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27615-3094
Mailing Address - Country:US
Mailing Address - Phone:502-424-6717
Mailing Address - Fax:
Practice Address - Street 1:8303 SIX FORKS RD STE 207
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27615-3094
Practice Address - Country:US
Practice Address - Phone:919-245-7791
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-08
Last Update Date:2023-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist