Farah, Basim Abraham
Farah, Basim Abraham is an individual health care provider with primary practice located at 1800 Gravenstein Hwy N , Sebastopol CA 95472-2607. He recently has 3 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Psychologist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor is his primary health care specialty. Farah, Basim Abraham can be contacted via phone (707) 634-9055.Contact Information
Primary practice address
1800 Gravenstein Hwy N
Sebastopol CA 95472-2607
Phone: (707) 634-9055
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PSB94022610 | California |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor | 225C00000X | PSB 94022610 | California |
Profile Details
| NPI number | 1154685907 |
|---|---|
| LBN Legal business name | Farah, Basim Abraham |
| Credentials | MA CLINICAL PSY |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 26th, 2012 |
| Last updated | Aug 10th, 2016 - about 10 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.
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