Individual
FAKHRI REZAIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
4141 GEARY BLVD, SAN FRANCISCO, CA 94118-3109
(415) 491-4913
Mailing address
PO BOX 326, CORTE MADERA, CA 94925
(415) 491-4913
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY 13994
CA
Other
Enumeration date
02/05/2007
Last updated
08/16/2007
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