Provider Demographics
NPI:1831509538
Name:ELTURABI, OMAMA H
Entity type:Individual
Prefix:MS
First Name:OMAMA
Middle Name:H
Last Name:ELTURABI
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 1:2517 DUNKSFERRY RD
Mailing Address - Street 2:B107
Mailing Address - City:BENSALEM
Mailing Address - State:PA
Mailing Address - Zip Code:19020-2709
Mailing Address - Country:US
Mailing Address - Phone:571-246-6315
Mailing Address - Fax:
Practice Address - Street 1:2517 DUNKSFERRY RD APT B107
Practice Address - Street 2:
Practice Address - City:BENSALEM
Practice Address - State:PA
Practice Address - Zip Code:19020-2710
Practice Address - Country:US
Practice Address - Phone:571-246-6315
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-05-02
Last Update Date:2014-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst