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:
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Health care specialties

SpecialtyCodeLicense #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 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1649371634 NPPES
California Other ZZZ22806Z MEDICARE - GROUP PIN

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