Basim Abraham Farah
Psychologist Rehabilitation Counselor
1800 Gravenstein Hwy N
Sebastopol
, California 95472-2607
Basim Abraham Farah
Psychologist Rehabilitation Counselor
1800 Gravenstein Hwy N
Sebastopol
, California 95472-2607
(971) 344-7914
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About
Features
Specialties
- Psychologist
- Rehabilitation Counselor
Languages spoken
- English
Location
First Address
- Basim Abraham Farah
- 2631 Wild Bill Way
- Santa Rosa, CA
- Zip : 95407-4561
- Phone : (971) 344-7914
Second Address
- Basim Abraham Farah
- 1800 Gravenstein Hwy N
- Sebastopol, CA
- Zip : 95472-2607
- Phone : (707) 634-9055
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 102L00000X | Psychologist | PSB94022610 | CA |
| N | 103T00000X | Psychologist | PSB94022610 | CA |
| Y | 225C00000X | Rehabilitation Counselor | PSB 94022610 | CA |
National Provider Identifier
| NPI | 1154685907 |
|---|---|
| Provider Name | Basim Abraham Farah |
| First Address | Santa Rosa, CA 95407-4561 |
| Second Address | Sebastopol, CA 95472-2607 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/06/2012 |
| Last Update Date | 10/08/2016 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.