Individual
BASIM ABRAHAM FARAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA CLINICAL PSY
Contact information
Practice address
1800 GRAVENSTEIN HWY N, SEBASTOPOL, CA 95472-2607
(707) 634-9055
Mailing address
2631 WILD BILL WAY, SANTA ROSA, CA 95407-4561
(971) 344-7914
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
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us