Provider Demographics
NPI:1023838646
Name:SUBRAMANIAM, AARTI (PHD)
Entity type:Individual
Prefix:
First Name:AARTI
Middle Name:
Last Name:SUBRAMANIAM
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 181
Mailing Address - Street 2:
Mailing Address - City:DUNNIGAN
Mailing Address - State:CA
Mailing Address - Zip Code:95937-0181
Mailing Address - Country:US
Mailing Address - Phone:530-220-1558
Mailing Address - Fax:
Practice Address - Street 1:133 D ST STE F
Practice Address - Street 2:
Practice Address - City:DAVIS
Practice Address - State:CA
Practice Address - Zip Code:95616-4695
Practice Address - Country:US
Practice Address - Phone:530-341-8180
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-17
Last Update Date:2024-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist