Individual
DR. CAROLYN FERSHTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
401 SOUTH A STREET, SANTA ROSA, CA 95401
(707) 544-4441
(707) 544-4492
Mailing address
PO BOX 1863, SANTA ROSA, CA 95402-1863
(707) 292-5199
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY 22774
CA
Other
Enumeration date
07/15/2009
Last updated
07/15/2009
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