Provider Demographics
NPI:1356569040
Name:ABRAMS, JOAN (PHD)
Entity type:Individual
Prefix:DR
First Name:JOAN
Middle Name:
Last Name:ABRAMS
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 1:712 N CRESCENT DR
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90210-3332
Mailing Address - Country:US
Mailing Address - Phone:310-276-4676
Mailing Address - Fax:310-276-8031
Practice Address - Street 1:9107 WILSHIRE BLVD
Practice Address - Street 2:STE 215
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90210-5508
Practice Address - Country:US
Practice Address - Phone:310-712-1942
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 40842106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist