Individual
FELICIA M AGIBI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1552 COFFEE RD STE 200, MODESTO, CA 95355-3122
(209) 248-7168
(209) 846-9641
Mailing address
1552 COFFEE RD STE 200, MODESTO, CA 95355-3122
(209) 248-7168
(209) 846-9641
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
29691
CA
Other
Enumeration date
02/06/2018
Last updated
09/23/2021
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