Provider Demographics
NPI:1932268711
Name:EL-SHAIEB, MUNA (PHD)
Entity Type:Individual
Prefix:DR
First Name:MUNA
Middle Name:
Last Name:EL-SHAIEB
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 1:795 8TH AVE APT 302
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94118-3769
Mailing Address - Country:US
Mailing Address - Phone:323-896-5715
Mailing Address - Fax:
Practice Address - Street 1:22505 WOODROE AVE
Practice Address - Street 2:HAYWARD
Practice Address - City:HAYWARD
Practice Address - State:CA
Practice Address - Zip Code:94541-3410
Practice Address - Country:US
Practice Address - Phone:415-353-5050
Practice Address - Fax:415-353-5059
Is Sole Proprietor?:No
Enumeration Date:2006-12-07
Last Update Date:2009-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY 22198103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling