Individual
DR. FARRAH ANN KHABAGNOTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1369 SYCAMORE AVE, HERCULES, CA 94547-5489
(707) 410-0540
Mailing address
1369 SYCAMORE AVE, HERCULES, CA 94547-5489
(707) 410-0540
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY20150
CA
Other
Enumeration date
04/16/2008
Last updated
04/07/2017
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