Healthcare Provider Details

I. General information

NPI: 1942852926
Provider Name (Legal Business Name): NOURA RABIH BITAR AMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2019
Last Update Date: 06/27/2023
Certification Date: 06/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

438 N WHITE RD
SAN JOSE CA
95127-1439
US

IV. Provider business mailing address

1922 THE ALAMEDA
SAN JOSE CA
95126-1457
US

V. Phone/Fax

Practice location:
  • Phone: 408-254-6848
  • Fax: 408-642-6052
Mailing address:
  • Phone: 408-261-7777
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number135277
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: