Provider Demographics
NPI:1063172963
Name:ASPIRING FAMILIES A PROFESSIONAL PSYCHOLOGY CORP.
Entity type:Organization
Organization Name:ASPIRING FAMILIES A PROFESSIONAL PSYCHOLOGY CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:AZMAIRA
Authorized Official - Middle Name:H
Authorized Official - Last Name:MAKER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:858-531-1122
Mailing Address - Street 1:12625 HIGH BLUFF DR STE 105
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92130-2053
Mailing Address - Country:US
Mailing Address - Phone:858-531-1122
Mailing Address - Fax:
Practice Address - Street 1:12625 HIGH BLUFF DR STE 105
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92130-2053
Practice Address - Country:US
Practice Address - Phone:858-531-1122
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-20
Last Update Date:2021-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty