Provider Demographics
NPI:1083598403
Name:AKBAR, AALIYAH (PPS CREDENDIAL)
Entity type:Individual
Prefix:
First Name:AALIYAH
Middle Name:
Last Name:AKBAR
Suffix:
Gender:F
Credentials:PPS CREDENDIAL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:521 FAIRBANKS AVE
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94610-1542
Mailing Address - Country:US
Mailing Address - Phone:510-381-0024
Mailing Address - Fax:
Practice Address - Street 1:521 FAIRBANKS AVE
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94610-1542
Practice Address - Country:US
Practice Address - Phone:510-381-0024
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-31
Last Update Date:2025-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling