Individual
MS. FARIDEH H REZAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
6645 ALVARADO RD #255, SAN DIEGO, CA 92120
(619) 265-8383
(951) 652-0308
Mailing address
5737 TRINITY PLACE, SAN DIEGO, CA 92120
(619) 265-8383
(951) 652-0308
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY9899
CA
103T00000X
Psychologist
PSY98990
CA
103T00000X
Psychologist
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009899
—
CA
05
—
0098990
—
CA
Enumeration date
11/28/2006
Last updated
12/16/2019
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