Fabiano, Selene
Fabiano, Selene is an individual health care provider with primary practice located at 8945 Golf Links Rd , Oakland CA 94605-4124. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical Child & Adolescent is her primary health care specialty. Fabiano, Selene can be contacted via phone (510) 504-6836.Contact Information
Primary practice address
8945 Golf Links Rd
Oakland CA 94605-4124
Phone: (510) 504-6836
Fax: (510) 343-2175
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PSY 14541 | California |
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | PSY14541 | California |
Profile Details
| NPI number | 1649371634 |
|---|---|
| LBN Legal business name | Fabiano, Selene |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 25th, 2006 |
| Last updated | Dec 29th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649371634 | NPPES |
| California | Other | ZZZ22806Z | MEDICARE - GROUP PIN |
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