Provider Demographics
NPI:1861725137
Name:GIRMAY, MERON KIROS
Entity type:Individual
Prefix:MISS
First Name:MERON
Middle Name:KIROS
Last Name:GIRMAY
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 1:2680 S WHITE RD STE 170
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95148-2079
Mailing Address - Country:US
Mailing Address - Phone:669-400-5728
Mailing Address - Fax:408-775-8998
Practice Address - Street 1:2680 S WHITE RD STE 170
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95148-2079
Practice Address - Country:US
Practice Address - Phone:669-400-5728
Practice Address - Fax:408-775-8998
Is Sole Proprietor?:No
Enumeration Date:2009-09-17
Last Update Date:2017-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health