Individual
FRIEDA DEHNAVIFAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
24863 W JAYNE AVE, COALINGA, CA 93210-9502
(773) 469-7180
Mailing address
1660 HARTLEY DRIVE, HANFORD, CA 93230
(773) 469-7180
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY33001
CA
103TF0200X
Forensic Psychologist
PSY33001
CA
Other
Enumeration date
06/16/2009
Last updated
03/20/2025
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