Provider Demographics
NPI:1093516957
Name:DEEPAK, SEEMA
Entity type:Individual
Prefix:
First Name:SEEMA
Middle Name:
Last Name:DEEPAK
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:SEEMA
Other - Middle Name:
Other - Last Name:GURURAJ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1425 N 14TH STREET
Mailing Address - Street 2:SUITE 400
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95112-6217
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1425 N 14TH STREET
Practice Address - Street 2:SUITE 400
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95112-6217
Practice Address - Country:US
Practice Address - Phone:408-724-9807
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-24
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist