Individual
DR. FRED FARZANEGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH. D.
Contact information
Practice address
82 COLUMBIA DR, TAMPA, FL 33606-3538
(813) 785-5577
Mailing address
82 COLUMBIA DR, TAMPA, FL 33606-3538
(813) 785-5577
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY3572
FL
Other
Enumeration date
02/16/2007
Last updated
12/07/2011
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