Individual
KATHLEEN FAHRNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2600 W STASSNEY LN, AUSTIN, TX 78745-3401
(512) 956-6463
Mailing address
2804 ROBIN RD, MANCHACA, TX 78652-4175
(415) 515-8168
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
38562
TX
103TC0700X
Clinical Psychologist
PY1148
NV
103TC1900X
Counseling Psychologist
PSY14141
CA
Other
Enumeration date
11/21/2006
Last updated
09/20/2025
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