Organization
DAWN FARBER PSYD MFT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAWN FARBER PSY.D MFT (ADMINISTRATOR AND CLINICIAN)
(510) 763-4531
Entity
Organization
Contact information
Practice address
587 WALAVISTA AVE, OAKLAND, CA 94610-1621
(510) 763-4531
Mailing address
587 WALAVISTA AVE, OAKLAND, CA 94610-1621
(510) 763-4531
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
MFC20018
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
522215420
PASSPORT
CA
Enumeration date
03/05/2015
Last updated
03/05/2015
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