Provider Demographics
NPI:1588786008
Name:ANKA, AMELIA ANNE (ACSW)
Entity type:Individual
Prefix:MS
First Name:AMELIA
Middle Name:ANNE
Last Name:ANKA
Suffix:
Gender:F
Credentials:ACSW
Other - Prefix:MS
Other - First Name:AMELIA
Other - Middle Name:ANNE
Other - Last Name:ANKA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:ACSW
Mailing Address - Street 1:10504 RIVERSIDE DR
Mailing Address - Street 2:
Mailing Address - City:TOLUCA LAKE
Mailing Address - State:CA
Mailing Address - Zip Code:91602-2446
Mailing Address - Country:US
Mailing Address - Phone:310-701-0106
Mailing Address - Fax:
Practice Address - Street 1:10504 RIVERSIDE DR
Practice Address - Street 2:
Practice Address - City:TOLUCA LAKE
Practice Address - State:CA
Practice Address - Zip Code:91602-2446
Practice Address - Country:US
Practice Address - Phone:310-701-0106
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS