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Dr. Fatemeh Ahdi Bani-taba, PSYD
Clinical Psychologist in Santa Rosa, California
NPI 1144413725

Fatemeh Ahdi Bani-taba is a Clinical Psychologist based in Santa Rosa, CA and is specialized in Clinical. Fatemeh Ahdi Bani-taba practices in Santa Rosa, CA and has the professional credentials of PSYD. The NPI Number for Fatemeh Ahdi Bani-taba is 1144413725 and holds a License No. PSY18968 (California).

The current practice location address for Fatemeh Ahdi Bani-taba is 401 Bicentennial Way, Santa Rosa, CA and can be reached out via phone at 707-571-5181 and via fax at 707-571-4110.

Location: 401 Bicentennial Way, Santa Rosa, CA, 95406-0747
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144413725
Provider Name
Fatemeh Ahdi Bani-taba
Credential
PSYD
Provider Entity Type
Individual
Gender
Female
Address
401 Bicentennial Way, Santa Rosa, CA, 95406-0747
Phone Number
707-571-5181
Fax Number
707-571-4110
Provider Enumeration Date
08/27/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
401 Bicentennial Way
City
Santa Rosa
State
California
Zip
95403-2149
Phone Number
707-571-5181
Fax Number
707-571-4110
person
Provider Business Mailing Address Details
Address
401 Bicentennial Way
City
Santa Rosa
State
California
Zip
95403-2149
Phone Number
707-571-5181
Fax Number
707-571-4110
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
PSY18968 (California)
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
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