Provider Demographics
NPI:1215218839
Name:AMIN, ANJULI RAMESH (PHD)
Entity type:Individual
Prefix:
First Name:ANJULI
Middle Name:RAMESH
Last Name:AMIN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4504 PANORAMA DR
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93306-1354
Mailing Address - Country:US
Mailing Address - Phone:661-900-8119
Mailing Address - Fax:661-871-1413
Practice Address - Street 1:4504 PANORAMA DR
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93306-1354
Practice Address - Country:US
Practice Address - Phone:661-900-8119
Practice Address - Fax:661-871-1413
Is Sole Proprietor?:No
Enumeration Date:2011-09-09
Last Update Date:2024-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TH0004XBehavioral Health & Social Service ProvidersPsychologistHealth