Provider Demographics
NPI:1063655850
Name:KRISHNAN, UMA DEVI (LMFT, PHD)
Entity type:Individual
Prefix:DR
First Name:UMA
Middle Name:DEVI
Last Name:KRISHNAN
Suffix:
Gender:F
Credentials:LMFT, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24137 DEL MONTE DR UNIT 235
Mailing Address - Street 2:
Mailing Address - City:VALENCIA
Mailing Address - State:CA
Mailing Address - Zip Code:91355-3395
Mailing Address - Country:US
Mailing Address - Phone:575-915-2595
Mailing Address - Fax:
Practice Address - Street 1:24137 DEL MONTE DR UNIT 235
Practice Address - Street 2:
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91355-3395
Practice Address - Country:US
Practice Address - Phone:575-915-2595
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-04-09
Last Update Date:2025-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM0151111106H00000X
NMT0121921101YM0800X
CALMFT134236106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM47043Medicaid