Provider Demographics
NPI:1558101253
Name:MUROV, VIOLET
Entity type:Individual
Prefix:
First Name:VIOLET
Middle Name:
Last Name:MUROV
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:166 ATHOL AVE APT 101
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94606-1703
Mailing Address - Country:US
Mailing Address - Phone:925-922-7803
Mailing Address - Fax:
Practice Address - Street 1:166 ATHOL AVE APT 101
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94606-1703
Practice Address - Country:US
Practice Address - Phone:925-922-7803
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-30
Last Update Date:2024-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health