Provider Demographics
NPI:1932366440
Name:HAO, RAMADEVI DUNG (LMFT)
Entity Type:Individual
Prefix:MR
First Name:RAMADEVI
Middle Name:DUNG
Last Name:HAO
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:MR
Other - First Name:RAMADEVI
Other - Middle Name:DUNG
Other - Last Name:HAO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMFT
Mailing Address - Street 1:1588 HOMESTEAD RD STE 11
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARA
Mailing Address - State:CA
Mailing Address - Zip Code:95050-4783
Mailing Address - Country:US
Mailing Address - Phone:408-905-9286
Mailing Address - Fax:
Practice Address - Street 1:1588 HOMESTEAD RD STE 11
Practice Address - Street 2:
Practice Address - City:SANTA CLARA
Practice Address - State:CA
Practice Address - Zip Code:95050-4783
Practice Address - Country:US
Practice Address - Phone:408-905-9286
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-21
Last Update Date:2012-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC#50889106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist