Individual
MINNAH WAHIDA FAROOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
675 TOWNSEND AVE UNIT 121, NEW HAVEN, CT 06512-3175
(586) 484-5696
Mailing address
675 TOWNSEND AVE UNIT 121, NEW HAVEN, CT 06512-3175
(586) 484-5696
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
004057
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790731081
—
KY
Enumeration date
08/20/2015
Last updated
08/29/2025
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