Dr. Christine Marie Fahrenbach
Clinical Psychologist
725 Front St Ste 200
Santa Cruz
, California 95060-4538
Dr. Christine Marie Fahrenbach
Clinical Psychologist
725 Front St Ste 200
Santa Cruz
, California 95060-4538
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About
Features
Specialties
- Clinical Psychologist
Languages spoken
- English
Location
First Address
- Dr. Christine Marie Fahrenbach
- 725 Front St Ste 200
- Santa Cruz, CA
- Zip : 95060-4538
- Phone :
Second Address
- Dr. Christine Marie Fahrenbach
- 725 Front St Ste 200
- Santa Cruz, CA
- Zip : 95060-4538
- Fax : (831) 459-7504
- Phone : (831) 457-6601
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103G00000X | Clinical Psychologist | PSY 14736 | CA |
| Y | 103TC0700X | Clinical Psychologist | PSY 14736 | CA |
National Provider Identifier
| NPI | 1013021104 |
|---|---|
| Provider Name | Dr. Christine Marie Fahrenbach |
| First Address | Santa Cruz, CA 95060-4538 |
| Second Address | Santa Cruz, CA 95060-4538 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/08/2006 |
| Last Update Date | 20/09/2012 |
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.