Individual
CARA DEPP DEHGHAN
Active
Individual
CARA DEPP DEHGHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
06275
MD
103TC0700X
Clinical Psychologist
0810006135
VA
103TC0700X
Clinical Psychologist
2285
OR
103TC0700X
Clinical Psychologist
PSY1001527
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000WDBCH
GROUP MEDICARE NUMBER
OR
05
—
164936
—
OR
Enumeration date
09/14/2011
Last updated
06/01/2021
Update your record
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