Individual
BASIM ABRAHAM FARAH
Active
Individual
BASIM ABRAHAM FARAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA CLINICAL PSY
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PSB94022610
CA
225C00000X
Rehabilitation Counselor
Primary
PSB 94022610
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/26/2012
Last updated
08/10/2016
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