Provider Demographics
NPI:1952736423
Name:ALLAMEH, SHEILA (PSYD)
Entity Type:Individual
Prefix:DR
First Name:SHEILA
Middle Name:
Last Name:ALLAMEH
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:415 LAUREL STREET PMB 408
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92101
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2221 CAMINO DEL RIO S STE 200
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92108-3609
Practice Address - Country:US
Practice Address - Phone:619-275-2286
Practice Address - Fax:619-955-5696
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-03
Last Update Date:2023-05-12
Deactivation Date:2015-07-28
Deactivation Code:
Reactivation Date:2018-09-12
Provider Licenses
StateLicense IDTaxonomies
CAPSY30230103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical