FATEMEH AHDI BANI-TABA

SANTA ROSA, CA
NPI1144413725
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: CA  PSY18968)
Enumeration Date2007-08-27
Last Update Date2007-08-27
Business Address
Dr. FATEMEH AHDI BANI-TABA PsyD
401 BICENTENNIAL WAY MOB EAST
SANTA ROSA, CA 95403-2149
Phone number: 707-571-5181
Mailing Address
Dr. FATEMEH AHDI BANI-TABA PsyD
PO BOX 6747
SANTA ROSA, CA 95406-0747
Phone number: 707-571-5181
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