Provider Demographics
NPI:1730847294
Name:DOI, KERIANNE
Entity type:Individual
Prefix:
First Name:KERIANNE
Middle Name:
Last Name:DOI
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 1:3801 BLACKFORD AVE APT 27
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95117-1912
Mailing Address - Country:US
Mailing Address - Phone:408-506-3713
Mailing Address - Fax:
Practice Address - Street 1:545 MERIDIAN AVE
Practice Address - Street 2:STE D, #28233
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:96126
Practice Address - Country:US
Practice Address - Phone:669-208-4007
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-02
Last Update Date:2021-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist