Basic Information
| Provider Information | |||||||||
| NPI: | 1073778932 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | UQDAH | ||||||||
| FirstName: | MUNEERAH | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | MISS | ||||||||
| NameSuffix: | |||||||||
| Credential: | LCSW | ||||||||
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| Mailing Information | |||||||||
| Address1: | 425 W CENTRAL AVE STE 201 | ||||||||
| Address2: | |||||||||
| City: | LOMPOC | ||||||||
| State: | CA | ||||||||
| PostalCode: | 934362807 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8059345430 | ||||||||
| FaxNumber: | 8059389207 | ||||||||
| Practice Location | |||||||||
| Address1: | 425 W CENTRAL AVE STE 201 | ||||||||
| Address2: | |||||||||
| City: | LOMPOC | ||||||||
| State: | CA | ||||||||
| PostalCode: | 934362807 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8059345430 | ||||||||
| FaxNumber: | 8059389207 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/21/2008 | ||||||||
| LastUpdateDate: | 04/16/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | LCSW66426 | CA | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.