Search › California › 225C00000X
Basim Farah, MA CLINICAL PSY
NPI 1154685907 · on the registry since 2012
Practice
- Address
- 1800 Gravenstein Hwy N
Sebastopol, CA 95472 - Phone
- (707) 634-9055
- Organisation at this address
- S.A.G.E Project
Tlc Child & Family Services
Tlc Child And Family ServicesInferred from a shared address, not stated in the registry. - Clinicians at this address
- 33
Registry record
- Primary taxonomy
- 225C00000X
225C00000X
- Also registered as
- 390200000X
103T00000X - Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-08-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California